title: Twin Pregnancy with a Complete Hydatidiform Mole and a Coexisting Live Fetus: Rare entity.
abstract: A hydatidiform mole with a coexisting live fetus is a rare occurrence and the optimal management for this condition is not yet known. We report the case of a 32-year-old woman (gravida 3, para 2) who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in March 2012 at 13 gestational weeks with abdominal pain and vaginal bleeding. An ultrasound examination revealed a hydatidiform mole pregnancy coexisting with a live fetus. After extensive counselling, the patient and her husband opted for a conservative management approach. Unfortunately, a hysterotomy had to be performed at 17 gestational weeks due to severe haemorrhage. The postoperative period was uneventful and histopathology results confirmed one complete mole with a coexisting fetus and normal placenta. The patient's serum β-human chorionic gonadotropin level remained normal for 18 months following her surgery.
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman;
authors.forename: Shahila
authors.initials: S
authors.lastname: Sheik
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman;
authors.forename: Nihal
authors.initials: N
authors.lastname: Al-Riyami
authors.affiliation: Department of Obstetrics & Gynaecology, Kasturba Medical College, Manipal, India.
authors.forename: Namitha R
authors.initials: NR
authors.lastname: Mathew
authors.affiliation: Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman;
authors.forename: Rashid
authors.initials: R
authors.lastname: Al-Sukaiti
authors.affiliation: Pathology, Sultan Qaboos University Hospital, Muscat, Oman;
authors.forename: Asim
authors.initials: A
authors.lastname: Qureshi
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman;
authors.forename: Mariam
authors.initials: M
authors.lastname: Mathew
keywords: Case Report; Fetus; Human Chorionic Gonadotropin; Hydatidiform Mole; Hysterotomy; Oman; Placenta; Twin Pregnancy