Molar Pregnancy with Live Fetus

Abstract

Introduction: Hydatidiform mole coexisting with a live fetus is a rare entity characterized by hydropic degeneration of the chorionic villi, trophoblast hyperplasia and macroscopic evidence of a fetus.
Objective: To show a case of twin pregnancy made up of a hydatidiform mole and a live fetus.
Case report: The clinical case of a 30-year-old Algerian pregnant woman is reported. Her gestational age was between 26 and 27 weeks, her obstetric history G2, P1, A0. She was admitted with a diagnosis of partial molar pregnancy and live fetus. In addition, she had threat of immature labor. Eutocic delivery was performed, low birth weight newborn and the entire mole are removed. The newborn did not survive due to immaturity. A female newborn was obtained, weighing 1000 g, Apgar 8/10, who was transferred to the Neonatology service.
Conclusions: Molar pregnancy with a live fetus is considered to be of high maternal and fetal risk, so it is suggested to establish early diagnosis through invasive techniques such as amniocentesis or chorionic villus biopsy, and to carry out a close perinatal follow-up. Termination of pregnancy should be personalized for each patient.