Cargando…
Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation
A complete hydatidiform mole with a viable coexisting fetus (CMCF) is a rare occurrence. Similarly, Mullerian anomalies such as a bicornuate uterus are uncommon variants of normal anatomy. We report a case of a 40-year-old female with a known bicornuate uterus presenting at 13 weeks gestation with v...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926541/ https://www.ncbi.nlm.nih.gov/pubmed/27403404 http://dx.doi.org/10.4103/2156-7514.184541 |
_version_ | 1782440135415037952 |
---|---|
author | Krishnamoorthy, Kavitha Gerkowicz, Sabrina Verma, Usha |
author_facet | Krishnamoorthy, Kavitha Gerkowicz, Sabrina Verma, Usha |
author_sort | Krishnamoorthy, Kavitha |
collection | PubMed |
description | A complete hydatidiform mole with a viable coexisting fetus (CMCF) is a rare occurrence. Similarly, Mullerian anomalies such as a bicornuate uterus are uncommon variants of normal anatomy. We report a case of a 40-year-old female with a known bicornuate uterus presenting at 13 weeks gestation with vaginal bleeding. Ultrasound findings showed a healthy viable pregnancy in the right horn with complete molar pregnancy in the left horn. After extensive counseling, the patient desired conservative management, however, was unable to continue due to profuse vaginal bleeding. The patient underwent suction dilation and curettage under general anesthesia and evacuation of the uterine horns. Postoperatively, the patient was followed until serum beta-human chorionic gonadotropin (β-hCG) level dropped to <5 mU. This is the first case of a CMCF reported in a bicornuate uterus, diagnosed with the use of ultrasound imaging. |
format | Online Article Text |
id | pubmed-4926541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-49265412016-07-11 Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation Krishnamoorthy, Kavitha Gerkowicz, Sabrina Verma, Usha J Clin Imaging Sci Case Report A complete hydatidiform mole with a viable coexisting fetus (CMCF) is a rare occurrence. Similarly, Mullerian anomalies such as a bicornuate uterus are uncommon variants of normal anatomy. We report a case of a 40-year-old female with a known bicornuate uterus presenting at 13 weeks gestation with vaginal bleeding. Ultrasound findings showed a healthy viable pregnancy in the right horn with complete molar pregnancy in the left horn. After extensive counseling, the patient desired conservative management, however, was unable to continue due to profuse vaginal bleeding. The patient underwent suction dilation and curettage under general anesthesia and evacuation of the uterine horns. Postoperatively, the patient was followed until serum beta-human chorionic gonadotropin (β-hCG) level dropped to <5 mU. This is the first case of a CMCF reported in a bicornuate uterus, diagnosed with the use of ultrasound imaging. Medknow Publications & Media Pvt Ltd 2016-06-23 /pmc/articles/PMC4926541/ /pubmed/27403404 http://dx.doi.org/10.4103/2156-7514.184541 Text en Copyright: © 2016 Journal of Clinical Imaging Science http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Krishnamoorthy, Kavitha Gerkowicz, Sabrina Verma, Usha Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation |
title | Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation |
title_full | Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation |
title_fullStr | Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation |
title_full_unstemmed | Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation |
title_short | Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation |
title_sort | viable intrauterine pregnancy and coexisting molar pregnancy in a bicornuate uterus: a rare presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926541/ https://www.ncbi.nlm.nih.gov/pubmed/27403404 http://dx.doi.org/10.4103/2156-7514.184541 |
work_keys_str_mv | AT krishnamoorthykavitha viableintrauterinepregnancyandcoexistingmolarpregnancyinabicornuateuterusararepresentation AT gerkowiczsabrina viableintrauterinepregnancyandcoexistingmolarpregnancyinabicornuateuterusararepresentation AT vermausha viableintrauterinepregnancyandcoexistingmolarpregnancyinabicornuateuterusararepresentation |