Document Detail


Normal fetus with a twin presenting as both a complete hydatidiform mole and placenta previa.
MedLine Citation:
PMID:  16449175     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A twin gestation comprising a complete hydatidiform mole and a coexisting normal fetus is a rare and high-risk condition. Only a few such gestations have resulted in live infants. We report a case with a very large molar component presenting as a placenta previa. CASE: A live infant was delivered by cesarean at 31 weeks of gestation. The delivery incorporated prophylactic temporary balloon occlusion of the internal iliac arteries. The patient did not develop persistent gestational trophoblastic disease. CONCLUSION: We recommend that intra-arterial balloon catheters be considered before cesarean delivery in cases of complete hydatidiform mole with a coexisting normal fetus if the molar pregnancy presents as a previa. The size of the molar gestation is not an independent risk factor for persistent or metastatic disease.
Authors:
Timothy E Klatt; Ralph A Franciosi; Dwight P Cruikshank
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  107     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-01     Completed Date:  2006-04-04     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  527-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. tklatt@mail.mcw.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Hydatidiform Mole / complications*
Placenta Previa*
Pregnancy
Twins*
Uterine Neoplasms / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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