Molar pregnancy with normal viable fetus presenting with severe pre-eclampsia: a case report

J Med Case Rep. 2018 May 21;12(1):140. doi: 10.1186/s13256-018-1689-9.

Abstract

Background: While gestational trophoblastic disease is not rare, hydatidiform mole with a coexistent live fetus is a very rare condition occurring in 0.005 to 0.01% of all pregnancies. As a result of the rarity of this condition, diagnosis, management, and monitoring will remain challenging especially in places with limited resources and expertise. The case we report is an interesting rare case which presented with well-described complications; only a few similar cases have been described to date.

Case presentation: We report a case of a 21-year-old local Sarawakian woman with partial molar pregnancy who presented with severe pre-eclampsia in which the baby was morphologically normal, delivered prematurely, and there was a single large placenta showing molar changes.

Conclusion: Even though the incidence of this condition is very rare, recognizing and diagnosing it is very important for patient care and it should be considered and looked for in patients presenting with pre-eclampsia.

Keywords: Normal viable fetus; Partial molar; Pre-eclampsia.

Publication types

  • Case Reports

MeSH terms

  • Fatal Outcome
  • Female
  • Gestational Age
  • Humans
  • Hydatidiform Mole, Invasive / complications*
  • Hydatidiform Mole, Invasive / diagnostic imaging
  • Hydatidiform Mole, Invasive / pathology
  • Infant, Extremely Low Birth Weight
  • Infant, Newborn
  • Live Birth
  • Placenta / diagnostic imaging
  • Placenta / pathology
  • Pre-Eclampsia / etiology*
  • Pregnancy
  • Pregnancy Complications, Neoplastic* / diagnostic imaging
  • Pregnancy Complications, Neoplastic* / pathology
  • Ultrasonography, Prenatal
  • Uterine Neoplasms / complications*
  • Uterine Neoplasms / diagnostic imaging
  • Uterine Neoplasms / pathology
  • Young Adult