Complete hydatid form mole in a quadruplet pregnancy with coexisting three viable fetusis: a case report

ABSTRACT

We hereby report the occurrence of quadruplet pregnancy with delivery of three viable infants and a complete mole. This was an induced conception with clomiphene citrate. At 22 weeks molar change was noticed in one of the placenta. Case was discussed with oncologist and pregnancy was continued with close monitoring of beta-hCG and ultrasound. Patient had no associated medical co-morbidity; she was given steroid cover at 32 weeks and delivery was planned at 34 weeks of pregnancy. Patient went into preterm labor at 33 weeks and three female infants were delivered followed by removal of three placentas along with copious molar tissue at the end. Babies were kept in nursery; none required assisted ventilation and were discharged in satisfactory condition. Histopathology a d immunohistochemistry confirmed quadruplet pregnancy comprising of one complete mole with three normal placentas