BACKGROUND: The coexistence of a hydatidiform mole with a normal, live fetus at near term is a rare occurrence. Few cases have been reported. When a molar pregnancy is incurred, the patient is usually encouraged to terminate the pregnancy due to the possibility of developing persistent trophoblastic disease or choriocarcinoma. The low probability of carrying the fetus to term is often due to development of maternal symptoms, including preeclampsia and vaginal bleeding. CASE: At 36 weeks' gestation a woman gave birth to a live, healthy infant who was found to coexist with a complete hydatidiform mole. This report discusses the clinical presentation, ultrasound findings and follow-up recommendations for patients presenting with gestational trophoblastic disease. CONCLUSION: A complete mole can coexist with a normal, healthy fetus who can be carried to term, with a good outcome.
BACKGROUND: The coexistence of a hydatidiform mole with a normal, live fetus at near term is a rare occurrence. Few cases have been reported. When a molar pregnancy is incurred, the patient is usually encouraged to terminate the pregnancy due to the possibility of developing persistent trophoblastic disease or choriocarcinoma. The low probability of carrying the fetus to term is often due to development of maternal symptoms, including preeclampsia and vaginal bleeding. CASE: At 36 weeks' gestation a woman gave birth to a live, healthy infant who was found to coexist with a complete hydatidiform mole. This report discusses the clinical presentation, ultrasound findings and follow-up recommendations for patients presenting with gestational trophoblastic disease. CONCLUSION: A complete mole can coexist with a normal, healthy fetus who can be carried to term, with a good outcome.