未经证实:涉及葡萄胎(HM)与发育中的胎儿共存的双胎妊娠是极为罕见的产科并发症,通常表现为与胎儿共存的完全葡萄胎(CHMCF)或与胎儿共存的部分葡萄胎(PHMCF)。
UNASSIGNED:一名26岁的妇女因怀孕31周时阴道少量出血入院。病人以前很健康,在妊娠第46天通过超声检测到子宫内单胎妊娠;然而,24周时在子宫腔中观察到葡萄串的迹象。患者随后被诊断为CHMCF。当病人坚持要继续怀孕时,她接受了医院的监护.第33周再次发生阴道出血,接受倍他米松一个疗程,然后在出血自行停止后继续妊娠。在第37周,一名体重3090克的男婴通过剖宫产分娩,1分钟时Apgar评分为10,核型为46XY。胎盘病理证实诊断为完整的包虫肿瘤。
未经评估:在本报告中,通过监测血压维持一例CHMCF,甲状腺功能,人绒毛膜促性腺激素,和怀孕期间的胎儿状况。剖腹产分娩了一个活的新生儿。CHMCF是一种临床罕见的高风险疾病;因此,应该使用几种工具仔细诊断,包括超声波,磁共振成像,和核型分析,并动态监测患者是否决定继续妊娠。
UNASSIGNED: A twin pregnancy involving a hydatidiform mole (HM) coexisting with a developing fetus is an extremely rare obstetric complication, which typically presents as a complete hydatidiform mole with a coexisting fetus (CHMCF) or a partial hydatidiform mole with a coexisting fetus (PHMCF).
UNASSIGNED: A 26-year-old woman was admitted to our hospital due to a small volume of vaginal bleeding during the 31st week of pregnancy. The patient was previously healthy, and an intrauterine singleton pregnancy was detected by ultrasound on day 46 of gestation; however, bunch-of-grapes sign was observed in the uterine cavity at 24 weeks. The patient was subsequently diagnosed with CHMCF. As the patient insisted on continuing her pregnancy, she underwent hospital monitoring. Vaginal bleeding occurred in the 33rd week again and received a course of betamethasone, then continued pregnancy after bleeding stopped spontaneously. In the 37th week, a male infant weighing 3090 g was delivered by cesarean section, with an Apgar score of 10 at 1 min and a karyotype of 46XY. Placental pathology confirmed the diagnosis of a complete hydatid tumor.
UNASSIGNED: In this report, a case of CHMCF was maintained by monitoring of blood pressure, thyroid function, human chorionic gonadotrophin, and fetal condition during pregnancy. A live newborn was delivered by cesarean section. CHMCF is a clinically rare disease with high risks; thus, it should be diagnosed carefully using several tools, including ultrasound, magnetic resonance imaging, and karyotype analysis and dynamically monitored if the patient decides to continue the pregnancy.