[Hydatidiform mole of the placenta and coexisting, living premature infant].
A pregnancy with a partial or complete hydatidiform mole and a coexistent living fetus is a rare condition. Most cases are consistent with a twin pregnancy, with distinct borders between placenta and mole on sonography. We report a case with a single placenta with cystic structures resembling histologically a complete hydatidiform mole. The pregnancy resulted in a diploid female fetus in the 34th week of gestation with marked hypotrophy. The non-molar part of the placenta showed a complex alteration of villous maturity resulting in intrauterine growth retardation but a living fetus. No malignancy occurred post partum. The clinical and pathogenetic aspects of this rare entity are discussed.
Universitäts-Frauenklinik, Leipzig.
L C
LC
Horn
R
R
Robel
Y
Y
Mehraein
K
K
Bilek
R
R
Faber
D000328:Adult; D002824:Chorionic Villi / Q000473:pathology; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D006828:Hydatidiform Mole / Q000000981:diagnostic imaging / Q000473:pathology*; D007223:Infant; D007231:Infant, Newborn; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*
Herdförmige Blasenmole der Plazenta und koexistentes, lebendes Frühgeborenes.