How to deal with a rare entity: the coexistence of a complete mole and a healthy egg in a twin pregnancy?
The association of a normal and a molar egg within a twin pregnancy is extremely rare. The key to diagnosis is the fetal karyotype, thus allowing elimination of its principal differential diagnosis: partial triploid mole. We report a case where the evolution of the pregnancy was complicated by severe toxemia. Interruption of pregnancy was then necessary, even though a conservative attitude had first been considered. Throughout this case, we discuss the means of diagnosis and the clinical handling of this rare entity.
Garbin
O
O
Service de Gynécologie et d'Obstétrique, CMCO, Schiltigheim, France.
Favre
R
R
Weber
P
P
Arbogast
E
E
Gasser
B
B
D000032:Abortion, Therapeutic; D000328:Adult; D005260:Female; D005317:Fetal Growth Retardation; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D014115:Toxemia / Q000150:complications; D014427:Twins; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000628:therapy