Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report

Key Clinical Message Timely prenatal diagnosis, regular checkups, and comprehensive counseling are vital in preventing and managing complications in high‐risk pregnancies like partial molar pregnancy with hydrops fetalis. Abstract A live singleton fetus with partial molar pregnancy is a rare conditi...

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Main Authors: Anup Panthi, Madhur Bhattarai, Shailendra Katwal, Sushmita Bhandari, Rituraj Baral, Madhav Bhusal, Bishal Khaniya
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8006
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author Anup Panthi
Madhur Bhattarai
Shailendra Katwal
Sushmita Bhandari
Rituraj Baral
Madhav Bhusal
Bishal Khaniya
author_facet Anup Panthi
Madhur Bhattarai
Shailendra Katwal
Sushmita Bhandari
Rituraj Baral
Madhav Bhusal
Bishal Khaniya
author_sort Anup Panthi
collection DOAJ
description Key Clinical Message Timely prenatal diagnosis, regular checkups, and comprehensive counseling are vital in preventing and managing complications in high‐risk pregnancies like partial molar pregnancy with hydrops fetalis. Abstract A live singleton fetus with partial molar pregnancy is a rare condition. We report a case of partial mole with hydrops fetalis causing intrauterine fetal demise (IUFD) in the third trimester. Our case involves a 20‐year primigravid without prior antenatal checkups who presented to outpatient department at 31 weeks and 5 days of gestation with lower abdominal pain, backache, vaginal spotting, and decreased fetal movement. Ultrasound revealed partial mole, hydrops fetalis, and IUFD. The patient underwent induced delivery expelling a 1900 gm female fetus with no viability and a placenta containing 650 gm of molar tissue. Placental tissue with cystic component was confirmed as molar tissue by histopathological examination. She was discharged a few days afterward and had undetectable beta‐human chorionic gonadotropin levels after a month. Prenatal diagnosis, counseling, rigorous antepartum surveillance, and appropriate postpartum follow‐up are essential for the best possible mother and fetal outcomes.
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spelling doaj.art-ca520fa66c644b1fb60b23952b26939c2023-10-25T07:12:44ZengWileyClinical Case Reports2050-09042023-10-011110n/an/a10.1002/ccr3.8006Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case reportAnup Panthi0Madhur Bhattarai1Shailendra Katwal2Sushmita Bhandari3Rituraj Baral4Madhav Bhusal5Bishal Khaniya6Tribhuvan University Institute of Medicine Maharajgunj NepalTribhuvan University Institute of Medicine Maharajgunj NepalDadeldhura Subregional Hospital Dadeldhura NepalFatima Jinnah Medical University Lahore PakistanTribhuvan University Institute of Medicine Maharajgunj NepalDevdaha Medical College Rupandehi NepalDepartment of Obstetrics and Gynaecology Tribhuvan University, Institute of Medicine Maharajgunj NepalKey Clinical Message Timely prenatal diagnosis, regular checkups, and comprehensive counseling are vital in preventing and managing complications in high‐risk pregnancies like partial molar pregnancy with hydrops fetalis. Abstract A live singleton fetus with partial molar pregnancy is a rare condition. We report a case of partial mole with hydrops fetalis causing intrauterine fetal demise (IUFD) in the third trimester. Our case involves a 20‐year primigravid without prior antenatal checkups who presented to outpatient department at 31 weeks and 5 days of gestation with lower abdominal pain, backache, vaginal spotting, and decreased fetal movement. Ultrasound revealed partial mole, hydrops fetalis, and IUFD. The patient underwent induced delivery expelling a 1900 gm female fetus with no viability and a placenta containing 650 gm of molar tissue. Placental tissue with cystic component was confirmed as molar tissue by histopathological examination. She was discharged a few days afterward and had undetectable beta‐human chorionic gonadotropin levels after a month. Prenatal diagnosis, counseling, rigorous antepartum surveillance, and appropriate postpartum follow‐up are essential for the best possible mother and fetal outcomes.https://doi.org/10.1002/ccr3.8006gestational trophoblastic diseaseshydropic degenerationhydrops fetalisIUFD
spellingShingle Anup Panthi
Madhur Bhattarai
Shailendra Katwal
Sushmita Bhandari
Rituraj Baral
Madhav Bhusal
Bishal Khaniya
Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report
Clinical Case Reports
gestational trophoblastic diseases
hydropic degeneration
hydrops fetalis
IUFD
title Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report
title_full Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report
title_fullStr Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report
title_full_unstemmed Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report
title_short Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report
title_sort partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise a case report
topic gestational trophoblastic diseases
hydropic degeneration
hydrops fetalis
IUFD
url https://doi.org/10.1002/ccr3.8006
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