PDF(Pubmed)
Abstract：
UNASSIGNED: Twin pregnancy combining a complete mole and a normal fetal pregnancy with its own healthy trophoblast is a rare entity. A partial molar pregnancy almost always ends in miscarriage due to a triploid fetus.
METHODS: We report the case of a 43-year-old female patient admitted for bleeding during the 20th week of pregnancy. Pelvic ultrasound showed the combination of a complete hydatidiform mole and a normal fetal pregnancy. The decision to medically terminate the pregnancy was taken after consultation with the family. Examination of the placenta and histological study confirmed the diagnosis of complete hydatidiform mole associated with a normal fetus. The evolution was uneventful.
UNASSIGNED: Twin pregnancy combining a complete mole and a normal fetal pregnancy with its own healthy trophoblast is a rare entity that should not be misdiagnosed. There is still no consensus in terms of therapeutic attitude, the dilemma remains and the decision should always include the couple after a thorough explanation of all the risks.
CONCLUSIONS: Our case reaffirms that to successfully manage this rare yet life-threatening condition, heterotopic pregnancy should be included in the differential diagnosis for any gravid women presenting with persistent abdominal pain, abnormal bleeding and/or extrauterine mass.
METHODS: We report the case of a 43-year-old female patient admitted for bleeding during the 20th week of pregnancy. Pelvic ultrasound showed the combination of a complete hydatidiform mole and a normal fetal pregnancy. The decision to medically terminate the pregnancy was taken after consultation with the family. Examination of the placenta and histological study confirmed the diagnosis of complete hydatidiform mole associated with a normal fetus. The evolution was uneventful.
UNASSIGNED: Twin pregnancy combining a complete mole and a normal fetal pregnancy with its own healthy trophoblast is a rare entity that should not be misdiagnosed. There is still no consensus in terms of therapeutic attitude, the dilemma remains and the decision should always include the couple after a thorough explanation of all the risks.
CONCLUSIONS: Our case reaffirms that to successfully manage this rare yet life-threatening condition, heterotopic pregnancy should be included in the differential diagnosis for any gravid women presenting with persistent abdominal pain, abnormal bleeding and/or extrauterine mass.
摘要：
未经证实：双胎妊娠结合完整的痣和正常的胎儿妊娠以及自身健康的滋养层是一种罕见的实体。由于三倍体胎儿，部分磨牙妊娠几乎总是以流产告终。
方法：我们报告一例43岁女性患者，因妊娠第20周出血入院。盆腔超声显示完整的葡萄胎和正常的胎儿妊娠。在与家人协商后，决定以医学方式终止妊娠。胎盘检查和组织学研究证实了与正常胎儿相关的完全葡萄胎的诊断。进化是平稳的。
未经证实：双胎妊娠合并完全痣和正常胎儿妊娠以及自身健康的滋养细胞是一种罕见的实体，不应误诊。在治疗态度方面仍然没有共识，困境仍然存在，在对所有风险进行彻底解释后，决定应始终包括这对夫妇。
结论：我们的案例重申，为了成功控制这种罕见但危及生命的疾病，异位妊娠应包括在任何出现持续性腹痛的妊娠妇女的鉴别诊断中。异常出血和/或子宫外包块。
方法：我们报告一例43岁女性患者，因妊娠第20周出血入院。盆腔超声显示完整的葡萄胎和正常的胎儿妊娠。在与家人协商后，决定以医学方式终止妊娠。胎盘检查和组织学研究证实了与正常胎儿相关的完全葡萄胎的诊断。进化是平稳的。
未经证实：双胎妊娠合并完全痣和正常胎儿妊娠以及自身健康的滋养细胞是一种罕见的实体，不应误诊。在治疗态度方面仍然没有共识，困境仍然存在，在对所有风险进行彻底解释后，决定应始终包括这对夫妇。
结论：我们的案例重申，为了成功控制这种罕见但危及生命的疾病，异位妊娠应包括在任何出现持续性腹痛的妊娠妇女的鉴别诊断中。异常出血和/或子宫外包块。
