Complete hydatidiform mole coexisting with a live fetus after gamete intrafallopian transfer - A case report

Citation
K. Manase et al., Complete hydatidiform mole coexisting with a live fetus after gamete intrafallopian transfer - A case report, J REPRO MED, 45(3), 2000, pp. 227-230
Citations number
10
Categorie Soggetti
Reproductive Medicine
Journal title
JOURNAL OF REPRODUCTIVE MEDICINE
ISSN journal
00247758 → ACNP
Volume
45
Issue
3
Year of publication
2000
Pages
227 - 230
Database
ISI
SICI code
0024-7758(200003)45:3<227:CHMCWA>2.0.ZU;2-U
Abstract
BACKGROUND: Molar pregnancy with a coexisting live fetus is a rare occurren ce. We report the only known case with a surviving coexistent fetus after g amete intrafallopian transfer (GIFT). CASE: After GIFT, a 28-year-old primary infertility patient was diagnosed a s having a complete hydatidiform mole coexisting with a live fetus at 13 we eks of gestation. At 36 weeks of gestation, a cesarean section was performe d due to elevated serum human chorionic gonadotropin (hCG) levels, and a ma le infant with a normal appearance and weighing 2,688 g was delivered. CONCLUSION: If the patient desires to try to carry the fetus to viability a fter counseling on the possible associated risks of malignancy, it is possi ble to achieve fetal viability if (1) there is decline in the serum hCG lev el after it peaks before the second trimester, (2) ultrasound reveals degen eration of the molar part, and (3) there are no complications of pregnancy.