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Case Report
Twin pregnancy combining complete hydatidiform mole and healthy fetus: Case report and review of the literature
1 Maternity, University Hospital Abderrahim Harouchi, Casablanca, Morocco; Faculty of Medicine and Pharmacy, University Hassan II, Ain Chock BP 5366, 20000 Casablanca, Morocco
Address correspondence to:
Chadia Khalloufi
3, Saria Bnou Zounaim Road, Palmier, 20340 Casablanca,
Morocco
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Article ID: 100135Z08IJ2023
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Joudar I, Khalloufi C, El Abbassi I, Jalal M, Lamrissi A, Bouhya S. Twin pregnancy combining complete hydatidiform mole and healthy fetus: Case report and review of the literature. J Case Rep Images Obstet Gynecol 2023;9(1):7–10.ABSTRACT
Introduction: Twin pregnancy combining a complete mole and a normal fetal pregnancy with its own healthy trophoblast is a rare entity.
Case Report: We report the case of a 43-year-old female patient admitted for abnormal uterine bleeding during the 20th week of pregnancy. Pelvic ultrasound showed the combination of a complete hydatidiform mole and a normal fetal pregnancy. The decision to medically terminate the pregnancy was taken after consultation with the family. Examination of the placenta and histological study confirmed the diagnosis of complete hydatidiform mole associated with a normal fetus. The evolution was uneventful.
Conclusion: Twin pregnancy combining a complete mole and a normal fetal pregnancy with its own healthy trophoblast is a rare entity that should not be misdiagnosed. There is still no consensus in terms of therapeutic attitude, the dilemma remains and the decision should always include the couple after a thorough explanation of all the risks.
Keywords: Case report, Complete hydatidiform mole, Gestational trophoblastic tumor, Pelvic ultrasound, Twin pregnancy
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Author Contributions
Imane Joudar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Chadia Khalloufi - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Imane El Abbassi - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammed Jalal - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Amine Lamrissi - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Said Bouhya - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Imane Joudar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
