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Revista Brasileira de Ginecologia e Obstetrícia

versión impresa ISSN 0100-7203versión On-line ISSN 1806-9339


MAESTA, Izildinha et al. Complete Mole in Twin Pregnancy: a Case Report. Rev. Bras. Ginecol. Obstet. [online]. 1998, vol.20, n.7, pp.415-419. ISSN 1806-9339.

Twin pregnancy in which a normal fetus and a complete mole develop at the same time is a rare event. Clinical complications and malignancy are frequent in this type of disease.This report is about a case of a late diagnosis due to the presence of the fetus. The diagnosis was made when the pregnancy was interrupted and then confirmed by histopathological study and flow cytometry. The pregnancy was terminated transpelvically due to massive uterine hemorrhage. The post-molar follow-up showed the persistence of high levels of bhCG. The patient's complete recovery was achieved after the administration of methotrexate. The diagnosis, natural history, and procedures for this rare disease are discussed in view of this case.

Palabras clave : Gestational trophoblastic disease; Twin pregnancy; Complete hydatidiform mole; Pregnancy complications; Hemorrhage; Chemotherapy; Ultrasonography.

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