title: Twin pregnancy with a complete hydatidiform mole and co-existent live fetus: two case reports and review of the literature.
abstract: BACKGROUND
  The aim of this study was to report the clinical features, management, and outcome of two cases of complete hydatidiform mole with a coexisting viable fetus and to review the literature.
  
  
  METHODS
  In this article, we report on the well-documented follow-up of two cases of twin pregnancies with complete hydatidiform mole and a normal fetus. Genetic amniocentesis showed normal fetal karyotype in both of two cases. In the first case, a live male infant was delivered by a cesarean section because of severe maternal bleeding at 29 weeks of gestation. In the second case, termination of pregnancy was performed due to early onset of severe preeclampsia and vaginal hemorrhage.
  
  
  CONCLUSIONS
  The chances of a live birth have been estimated between 30 and 35% and the risk of persistent trophoblastic disease is similar to singleton molar pregnancies in complete mole with coexisting fetus pregnancy. Therefore, in these pregnancies, expectant management instead of termination of pregnancy can be suggested.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Mustafa Kemal University, Antakya, Hatay, Turkey. kdolapci@gmail.com
authors.forename: Kenan
authors.initials: K
authors.lastname: Dolapcioglu
authors.forename: Arif
authors.initials: A
authors.lastname: Gungoren
authors.forename: Sibel
authors.initials: S
authors.lastname: Hakverdi
authors.forename: Ali Ulvi
authors.initials: AU
authors.lastname: Hakverdi
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Egilmez
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000000981:diagnostic imaging / Q000473:pathology*; D007231:Infant, Newborn; D007621:Karyotyping; D008297:Male; D011247:Pregnancy; D011272:Pregnancy, Multiple; D014427:Twins; D014463:Ultrasonography