Triplet Pregnancy with Partial Hydatidiform Mole Coexisting with Two Fetuses after Ovulation Induction and Intrauterine Insemination

Authors

  • Mehmet Serdar Kütük Erciyes University Faculty of Medicine Department of Obstetrics and Gynaecology, Kayseri
  • Mehmet Dolanbay Erciyes University Faculty of Medicine Department of Obstetrics and Gynaecology, Kayseri
  • Hilal Akalın Erciyes University Faculty of Medicine Department of Genetics, Kayseri
  • Mahmut Tuncay Özgün Erciyes University Faculty of Medicine Department of Obstetrics and Gynaecology, Kayseri
  • Turhan Öktem Erciyes University Faculty of Medicine Department of Pathology, Kayseri
  • Munis Dündar Erciyes University Faculty of Medicine Department of Genetics, Kayseri
  • Ercan Aygen Erciyes University Faculty of Medicine Department of Obstetrics and Gynaecology, Kayseri

Keywords:

Triplet pregnancy, Partial hydatidiform mole, Ovulation induction, Intrauterine insemination

Abstract

Partial hydatidiform mole with dichorionic twin fetuses is extremely rare condition, and only three cases have been reported before. Twenty- five years old primigravida having a trizygotic triplet pregnancy that has been conceived by ovulation induction and intrauterine insemination was referred to our department for threatened abortion. The fetus B with molar placenta has been selectively terminated at 11th weeks and the pregnancy was complicated with preeclampsia, hyperthyroidism, and culminated in spontaneous abortion at 20th weeks. After the abortion, the pathologic evaluation suggested partial mole, and genetic evaluation confirmed the diagnosis. The postpartum course complicated with persistent trophoblastic disease that well responded to four course of methotrexate therapy. The optimal management of partial hydatidiform mole coexistent with two fetuses is currently uncertain. The choice of continuing the pregnancy must be individualized, depending on the patient condition. These patients should be carefully followed after the pregnancy for persistent trophoblastic disease.

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Published

2015-12-30

How to Cite

1.
Kütük MS, Dolanbay M, Akalın H, Özgün MT, Öktem T, Dündar M, Aygen E. Triplet Pregnancy with Partial Hydatidiform Mole Coexisting with Two Fetuses after Ovulation Induction and Intrauterine Insemination. Gynecol Obstet Reprod Med [Internet]. 2015Dec.30 [cited 2022May21];21(3):171-3. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/13

Issue

Section

Case Reports

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