Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report
Background and Aim: Gestational trophoblastic disease consists of a wide range of tumors related to the uterus, including complete and incomplete hydatidiform mole, placental trophoblastic tumor, and choriocarcinoma, which have different tendencies to local invasion and metastasis. In this study, we...
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| Format: | Article |
| Language: | fas |
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Kurdistan University of Medical Sciences
2023-08-01
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| Series: | مجله علمی دانشگاه علوم پزشکی کردستان |
| Subjects: | |
| Online Access: | http://sjku.muk.ac.ir/article-1-7649-en.pdf |
| _version_ | 1797688225865662464 |
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| author | shamsi zare nasrin sufizadeh sara mohammadi payman rezagholi |
| author_facet | shamsi zare nasrin sufizadeh sara mohammadi payman rezagholi |
| author_sort | shamsi zare |
| collection | DOAJ |
| description | Background and Aim: Gestational trophoblastic disease consists of a wide range of tumors related to the uterus, including complete and incomplete hydatidiform mole, placental trophoblastic tumor, and choriocarcinoma, which have different tendencies to local invasion and metastasis. In this study, we report a case of twin pregnancy with one fetus and a concomitant mole in a 40-year-old woman.
Case report: A 40-year-old woman at 17-week of pregnancy referred with complaints of shortness of breath, headache and high blood pressure. Fetal heart rate was 110. According to the ultrasound of the fetus, the size of the placenta was much larger than normal and had cystic areas. The patient was diagnosed as a case of twin pregnancy with one fetus and a concomitant mole. Emergency hysterotomy was performed. The patient was discharged from the hospital after one week in good general condition and recommended to check weekly βHCG titer test and control blood pressure.
conclusion: Molar pregnancy is diagnosed by abdominal ultrasound and serum βHCG measurement. Considering pregnancy complications such as gestational hypertension and metabolic disorders such as hyperthyroidism and bleeding which can increase after such pregnancies, early diagnosis and treatment are essential to reducing maternal mortality. In addition, after termination of such pregnancies, examination of the patients for early detection of trophoblastic tumors is very important. |
| first_indexed | 2024-03-12T01:28:13Z |
| format | Article |
| id | doaj.art-492ce186be214bcb94d9646709dd4d73 |
| institution | Directory Open Access Journal |
| issn | 1560-652X 2345-4040 |
| language | fas |
| last_indexed | 2024-03-12T01:28:13Z |
| publishDate | 2023-08-01 |
| publisher | Kurdistan University of Medical Sciences |
| record_format | Article |
| series | مجله علمی دانشگاه علوم پزشکی کردستان |
| spelling | doaj.art-492ce186be214bcb94d9646709dd4d732023-09-12T10:35:55ZfasKurdistan University of Medical Sciencesمجله علمی دانشگاه علوم پزشکی کردستان1560-652X2345-40402023-08-01283117123Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Reportshamsi zare0nasrin sufizadeh1sara mohammadi2payman rezagholi3 Assistant Professor, Department of Obstetrics and Gynecology,Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran Assistant Professor, Department of Obstetrics and Gynecology,Faculty of Medicine,Behsat Hospital ,Kurdistan University of Medical Sciences, 98, Iran Instructor, Department of Operating Room, School of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, Iran. Instructor,Department of Operating Room, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences,Sanandaj,Iran Background and Aim: Gestational trophoblastic disease consists of a wide range of tumors related to the uterus, including complete and incomplete hydatidiform mole, placental trophoblastic tumor, and choriocarcinoma, which have different tendencies to local invasion and metastasis. In this study, we report a case of twin pregnancy with one fetus and a concomitant mole in a 40-year-old woman. Case report: A 40-year-old woman at 17-week of pregnancy referred with complaints of shortness of breath, headache and high blood pressure. Fetal heart rate was 110. According to the ultrasound of the fetus, the size of the placenta was much larger than normal and had cystic areas. The patient was diagnosed as a case of twin pregnancy with one fetus and a concomitant mole. Emergency hysterotomy was performed. The patient was discharged from the hospital after one week in good general condition and recommended to check weekly βHCG titer test and control blood pressure. conclusion: Molar pregnancy is diagnosed by abdominal ultrasound and serum βHCG measurement. Considering pregnancy complications such as gestational hypertension and metabolic disorders such as hyperthyroidism and bleeding which can increase after such pregnancies, early diagnosis and treatment are essential to reducing maternal mortality. In addition, after termination of such pregnancies, examination of the patients for early detection of trophoblastic tumors is very important.http://sjku.muk.ac.ir/article-1-7649-en.pdftwin pregnancymolar pregnancy |
| spellingShingle | shamsi zare nasrin sufizadeh sara mohammadi payman rezagholi Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report مجله علمی دانشگاه علوم پزشکی کردستان twin pregnancy molar pregnancy |
| title | Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report |
| title_full | Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report |
| title_fullStr | Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report |
| title_full_unstemmed | Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report |
| title_short | Twin Pregnancy with one Fetus and a Concomitant Mole: A Case Report |
| title_sort | twin pregnancy with one fetus and a concomitant mole a case report |
| topic | twin pregnancy molar pregnancy |
| url | http://sjku.muk.ac.ir/article-1-7649-en.pdf |
| work_keys_str_mv | AT shamsizare twinpregnancywithonefetusandaconcomitantmoleacasereport AT nasrinsufizadeh twinpregnancywithonefetusandaconcomitantmoleacasereport AT saramohammadi twinpregnancywithonefetusandaconcomitantmoleacasereport AT paymanrezagholi twinpregnancywithonefetusandaconcomitantmoleacasereport |