A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up

Twin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Re...

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Main Authors: Antonio Braga, Bruna Obeica, Heron Werner, Sue Yazaki Sun, Joffre Amim Júnior, Jorge Rezende Filho, Edward Araujo Júnior
Format: Article
Language:English
Published: Sciendo 2017-12-01
Series:Journal of Ultrasonography
Subjects:
Online Access:http://jultrason.pl/index.php/issues/volume-17-no-71/a-twin-pregnancy-with-a-hydatidiform-mole-and-a-coexisting-live-fetus-prenatal-diagnosis-treatment-and-follow-up?aid=577
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author Antonio Braga
Bruna Obeica
Heron Werner
Sue Yazaki Sun
Joffre Amim Júnior
Jorge Rezende Filho
Edward Araujo Júnior
author_facet Antonio Braga
Bruna Obeica
Heron Werner
Sue Yazaki Sun
Joffre Amim Júnior
Jorge Rezende Filho
Edward Araujo Júnior
author_sort Antonio Braga
collection DOAJ
description Twin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Reference Centers. Magnetic resonance imaging is important for the diagnostic differentiation of placental mesenchymal dysplasia and exclusion of myometrial invasion. Here we present a case of twin molar pregnancy with a hydatidiform mole and a coexisting live fetus diagnosed at gestational week 14 using two-dimensional (2D) and three-dimensional (3D) ultrasound and magnetic resonance imaging. We also describe the obstetric management and postmolar follow-up.
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spelling doaj.art-bdbd708db054490881d515eeb6c684a32022-12-22T02:08:18ZengSciendoJournal of Ultrasonography2084-84042451-070X2017-12-01177129930510.15557/JoU.2017.0044A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-upAntonio Braga0Bruna Obeica1Heron Werner2Sue Yazaki Sun3Joffre Amim Júnior4Jorge Rezende Filho5Edward Araujo Júnior6Rio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilRio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Radiology, Clínica de Diagnóstico por Imagem, Rio de Janeiro, BrazilDepartment of Obstetrics, Paulista School of Medicine – Federal University of São Paulo, São Paulo, BrazilRio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilRio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Obstetrics, Paulista School of Medicine – Federal University of São Paulo, São Paulo, BrazilTwin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Reference Centers. Magnetic resonance imaging is important for the diagnostic differentiation of placental mesenchymal dysplasia and exclusion of myometrial invasion. Here we present a case of twin molar pregnancy with a hydatidiform mole and a coexisting live fetus diagnosed at gestational week 14 using two-dimensional (2D) and three-dimensional (3D) ultrasound and magnetic resonance imaging. We also describe the obstetric management and postmolar follow-up.http://jultrason.pl/index.php/issues/volume-17-no-71/a-twin-pregnancy-with-a-hydatidiform-mole-and-a-coexisting-live-fetus-prenatal-diagnosis-treatment-and-follow-up?aid=577twin pregnancyhydatidiform moleultrasoundmagnetic resonance imagingstaging
spellingShingle Antonio Braga
Bruna Obeica
Heron Werner
Sue Yazaki Sun
Joffre Amim Júnior
Jorge Rezende Filho
Edward Araujo Júnior
A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
Journal of Ultrasonography
twin pregnancy
hydatidiform mole
ultrasound
magnetic resonance imaging
staging
title A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
title_full A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
title_fullStr A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
title_full_unstemmed A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
title_short A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
title_sort twin pregnancy with a hydatidiform mole and a coexisting live fetus prenatal diagnosis treatment and follow up
topic twin pregnancy
hydatidiform mole
ultrasound
magnetic resonance imaging
staging
url http://jultrason.pl/index.php/issues/volume-17-no-71/a-twin-pregnancy-with-a-hydatidiform-mole-and-a-coexisting-live-fetus-prenatal-diagnosis-treatment-and-follow-up?aid=577
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