TWIN PREGNANCY INVOLVING COMPLETE HYDATIDIFORM MOLE AND PARTIAL MOLE AFTER 5 YEARS OF AMENORRHEA

A case of twin pregnancy involving a single fetus and complete hydatid iform mole in a 56-year-old woman after 5 years of amenorrhoea is repo rted. The patient presented with threatened abortion and was managed w ith bed rest and blood transfusion. Six weeks after admission and at 2 0 weeks gestation, she had a spontaneous vaginal delivery of a molar p regnancy and a fresh stillbirth with molar degeneration of the placent a. The uterine cavity was evacuated by suction curettage after deliver y and plasma, BHCG was negative 4 weeks subsequently. In a case of pre gnancy after a long period of amenorrhoea in the older woman, molar de generation is a strong probability.