title: Successful Outcome of Twin Gestation with Partial Mole and Co-Existing Live Fetus: A Case Report.
abstract: Sad fetus syndrome comprising of a live twin gestation with a hydatidiform mole is a rare entity. The condition is even rarer when the co-existing live fetus is associated with a partial mole than a complete mole. We report the case of a 24-year-old G2P1L1 at 28 weeks gestation who presented to our casualty in the second stage of labour. She had a previous ultrasound scan at 13 weeks which showed a live fetus with a focal area of multicystic placenta. She delivered an alive preterm male fetus weighing 1.32 kg vaginally. Following expulsion of normal placenta of the live fetus, partial mole was expelled. The fetus was admitted to neonatal ICU and discharged after two weeks. Soon after delivery, β-hCG (human chorionic gonadotropin) was 1,21,993 mIU/ml which decreased to 30mIU/ml within two weeks. The patient was discharged with advice of regular follow up of β-hCG reports.
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India .
authors.forename: Setu
authors.initials: S
authors.lastname: Rathod
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India .
authors.forename: Reddi
authors.initials: R
authors.lastname: Rani
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India .
authors.forename: Lopamudra B
authors.initials: LB
authors.lastname: John
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute , Puducherry, India .
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Samal
keywords: Fetal karyotype; Multicystic placenta; β-hCG