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Twin Pregnancy Presenting with Hydatidiform Mole and Co-existing Living Fetus with Ovarian Venous Thrombosis: A case report |
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| รหัสดีโอไอ | |
| Creator | Karit Jayasakoon |
| Title | Twin Pregnancy Presenting with Hydatidiform Mole and Co-existing Living Fetus with Ovarian Venous Thrombosis: A case report |
| Contributor | Densak Pongrojpaw, Awassada Punyashthira, Araya Sammor, Athita Chanthasenanont, Komsun Suwannarurk |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2567 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 32 |
| Journal No. | 4 |
| Page no. | 320-327 |
| Keyword | molar pregnancy, trophoblastic disease, co-existing normal fetus, venous occlusion |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Background: This case was a twin pregnancy with a complete hydatidiform mole (CHM) and a co-existing fetus. Gestational trophoblastic neoplasia (GTN) and ovarian venous thrombosis (OVT) were diagnosed during the postpartum period. Case: A 25-year-old pregnant woman, gravid 2, para1-0-0-1 presented with vaginal bleeding. Ultrasonography showed multi-cystic placenta separated from a normal placenta and a living fetus. The patient had a vaginal delivery at 31+5 weeks of gestation. Placental histology described a CHM and negative p57(kip2) immunohistochemistry. Post-molar GTN was diagnosed after one month of delivery. Low-risk GTN was diagnosed with OVT. Clinical symptoms subsided after administrating of single-agent methotrexate and an anticoagulant and without complication during one year follow-up. Conclusion: CHM with a co-existing fetus needs imaging, prenatal genetics, and pathological plus p57(kip2) immunohistochemistry for diagnosis. |
