[Complete hydatidiform mole in triple pregnancy with coexistent two live fetuses [a case report]]

ABSTRACT

With the widespread use of ovulation induction regimen multiple pregnancy may occur more often and, thus, attention has been drawn to the increased possibility of multiple pregnancy with one or two normal fetuses and placenta and the other appearing as a complete or partial mole following a variety of different methods of assisted reproduction. Management of this condition is extremely challenging, especially when the pregnancy is highly desired and there is a significant risk of severe complications. A 28-yearold female, gravida1- para0 who presented with 8 years of primary infertility [as a result of ovulatory dysfunction] was referred to Alzahra Educational Center at 34 weeks of gestation with the ultrasound diagnosis of a twin pregnancy [the fetuses were female]. The current pregnancy had been conceived during the 2-3 cycle of superovulation with clomiphene- HMG and IUI. She had a history of hypothyrodism for 8 years and was controlled with levothyroxin. At 34 weeks of gestation due to active uterine contractions that made further conservative management impossible, the pregnancy was terminated by cesarean section. Two female fetuses both without malformations were delivered. Following delivery of fetuses, one placenta had normal appearance and was completely removed. The second one, molar tissues containing numerous vesicles, were delivered and microscopic examination confirmed the diagnosis of hydatidiform mole and placental hemangioma. In pregnant women following infertility treatment, close surveillance is certainly needed to evaluate the probability of coexistence of molar pregnancy