Complete hydatidiform mole with co-existing healthy fetus: A case report

Abstract

A twin pregnancy is described consisting of a complete hydatiform mole (CHM) with coexisting healthy fetus. Pregnancy occurred after IVF-ICSI. The couple wished to continue the pregnancy and a decision to accept was taken after having consulted the available literature, but at 18 weeks gestation pregnancy termination was inevitable for severe vaginal bleeding. A rising HCG, 25 days after the curettage made methotrexate treatment necessary and 24 months later there is no evidence of disease.

Keywords:

• Complete hydatiform mole
• coexisting twin
• persistent gestational trophoblastic disease
• case report
• outcome