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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
AVILA-VERGARA, MA et al. Hydatidiform mole coexisting with a live fetus greater than 20 weeks of gestation: Two cases report. Ginecol. obstet. Méx. [online]. 2017, vol.85, n.12, pp.853-861. ISSN 0300-9041. https://doi.org/10.24245/gom.v85i12.1583.
Background:
Coexistance of molar pregnancy and alive fetus is an extremely rare condition but a medical challenge when it is present. Several maternal medical complications are associated with these pregnancies including both mother and fetus life-threatening conditions.
Clinical case:
Two cases of molar pregnancies are presented in this paper. First was a twin pregnancy with a complete hydatidiform coexisting with a live fetus and cesarean birth at 33 weeks of gestation of a live female weighing 1,530 g. that survived without complications. Second case was an incomplete mole complicated with severe pre-eclampsia, hypertiroidism, and placenta previa; pregnancy was interrupted at 24 weeks of gestation and a fetus weighing 625 g was extracted by cesarean section, the neonate did not survive.
Conclusion:
In the presence of molar pregnancy coexisting with a live viable fetus, the present or potential complications that determine the risk of maternal and perinatal death, must be carefully assessed. A third-level perinatal facilities must be available for this kind of pregnancy complication.
Palabras llave : Complete hydatidiform mole; Incomplete hydatidiform mole; Live fetus; Multiple gestation.