Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy
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A complete hydatidiform mole with a viable coexisting fetus (CMCF) is a rare occurrence. Similarly, Mullerian anomalies such as a bicornuate uterus are uncommon variants of normal anatomy. This article reports a case of a 40-year-old female with a known bicornuate uterus presenting at 13 weeks gestation with vaginal bleeding. Ultrasound findings showed a healthy viable pregnancy in the right horn with complete molar pregnancy in the left horn. After extensive counseling, the patient desired conservative management, however, was unable to continue due to profuse vaginal bleeding. The patient underwent suction dilation and curettage under general anesthesia and evacuation of the uterine horns. Postoperatively, the patient was followed until serum beta-human chorionic gonadotropin (β-hCG) level dropped to <5 mU.

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Dr. H●●●●h D●●●i
Dr. H●●●●h D●●●i Obstetrics and Gynaecology
Interesting case. Actually even in normal uterus with twin gestation having normal fetus with coexistent molar pregnancy in other sac it is difficult to continue pregnancy due to severe bleeding (like in this case) or severe preeclampsia. I personally advocate for clear advice regarding termination rather than discussing option of expectant treatment
Oct 26, 2017Like