全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

Pregnancy with Complete Hydatidiform Mole, Coexisting with a Normal Living Fetus: Case Reports

DOI: 10.4236/oalib.1104088, PP. 1-9

Subject Areas: Gynecology & Obstetrics

Keywords: Complete Hydatidiform Mole, Partial Hydatidiform Mole, Twin Pregnancy, Selective Abortion, Abortion, Judicial Power, Public Prosecution

Full-Text   Cite this paper   Add to My Lib

Abstract

This is a case study of twin pregnancy, going through a complete hydatidiform mole with living fetus. The pregnant woman had a previous partial hydatidiform mole, diagnosed and confirmed five months before the pregnancy which is the subject of this study. The first suspected diagnosis was made by means of a medical external ultrasound scan, confirmed by other tests, such as the dosage of β-HCG. Besides the bibliographic review, this study addresses legal aspects of the Brazilian system which does not allow termination of pregnancy in these situations. In this particular case, the living fetus was sacrificed through uterine evacuation, featuring a criminal abortion. For the safety of the medical staff and the pregnant woman herself, there was the need for a special authorization from the Public Prosecution to the medical procedure.

Cite this paper

Ribeiro, D. C. , Fonseca, R. N. A. , Almeida, C. C. S. D. , Figueiredo, J. D. A. , Resende, B. R. and Ribeiro, B. G. (2017). Pregnancy with Complete Hydatidiform Mole, Coexisting with a Normal Living Fetus: Case Reports. Open Access Library Journal, 4, e4088. doi: http://dx.doi.org/10.4236/oalib.1104088.

References

[1]  Andrade, J.M. (2009) Hydatidiform Mole and Gestational Trophoblastic Disease. Revista Brasileira de Ginecologia e Obstetrícia, 31, 94-101.
[2]  Péret, F.J.A., Correa Júnior, M.D., Viggiano, M.G.C. and de Paula, L.B. (2011) Bleeding in the First Half of Pregnancy. In: Correa, M.D., Melo, V.H., Aguiar, R.A.L.P. and Correa Júnior, M.D., Eds., Basic Practices in Obstetrics, 14th Edition, Coopmed, Belo Horizonte, 249-280.
[3]  Chen, F.P. (1997) Molar Pregnancy and Living Normal Fetus Coexisting until Term: Prenatal Biochemical and Sonographic Diagnosis. Human Reproduction, 12, 853-856. https://doi.org/10.1093/humrep/12.4.853
[4]  Sak, M.E., Soydinc, H.A., Evsen, M.S., Sak, S. and Firat, U. (2012) Diploid Karyotype Partial Mole Coexisting with Live Term Fetus. Case Report and Review of the World Literature. Ginekologia Polska, 83, 789-791.
[5]  Varela, S.T., Palacios, M.N.C., Roche, M.I.M., Hoffner, K.A. and Díez, J.L.D. (2015) Pregnancy with Complete Hydatidiform Mole, Coexisting with a Normal Living Fetus: Clinical Case, with Bibliographic Review. Progresos de Obstetricia y Ginecología, 58, 287-290.
[6]  Lima, T.P. (2000) Gestational Trophoblastic Disease. In: Neme, B., Ed., Basic Obstetrics, 2nd Edition, Sarvier, Sao Paulo, 592-608.
[7]  Abbassi-Ghanavati, M., Greer, L.G. and Cunningham, F.G. (2009) Pregnancy and Laboratory Studies: A Reference Table for Clinicians. Obstetrics & Gynecology, 114, 1326-1331.
https://doi.org/10.1097/AOG.0b013e3181c2bde8
[8]  Federal Supreme Court of Brazil (2012) ADPF 54. Rapporteur: Justice Marco Aurelio. Judged on Apr. 12, 2012.
http://stf.jus.br/portal/jurisprudencia/listar
[9]  Lurain, J.R. (2010) Gestational Trophoblastic Disease I: Epidemiology, Pathology, Clinical Presentation and Diagnosis of Gestational Trophoblastic Disease, and Management of Hydatidiform Mole. American Journal of Obstetrics & Gynecology, 203, 531-539.
https://doi.org/10.1016/j.ajog.2010.06.073
[10]  Smith, H.O., Qualls, C.R., Prairie, B.A., Padilla, L.A., Rayburn, W.F. and Key, C.R. (2003) Trends in Gestational Choriocarcinoma: A 27-Year Perspective. Obstetrics & Gynecology, 102, 978-987.
https://doi.org/10.1097/00006250-200311000-00017
[11]  Yela, D.A., Pinheiro, A., Pinto, J.P.L. and Andrade, L. (2011) Twin Pregnancy with Complete Hydatidiform Mole and Living Fetus. Jornal Brasileiro de Patologia e Medicina Laboratorial, 47, 165-170.
https://doi.org/10.1590/S1676-24442011000200012
[12]  Lavanya, R., Hebbar, S., Shyamala, G., Adiga, P. and Anjali, M. (2014) Twin Pregnancy with Hydatidiform Mole and Co-Existent Live Fetus: Lessons Learnt. Malaysian Journal of Medical Sciences, 21, 61-64.
[13]  Steller, M.A., Genest, D.R., Bernstein, M.R., Lage, J.M., Goldstein, D.P. and Berkowitz, R.S. (1994) Natural History of Twin Pregnancy with Complete Hydatidiform Mole and Co-Existing Fetus. Obstetrics & Gynecology, 83, 35-42.

Full-Text


comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413