Gestação gemelar com mola hidatiforme completa e feto vivo

Reprodu??o & Climatério Pub Date : 2014-05-01 DOI:10.1016/j.recli.2014.10.001

Leonardo Ribeiro Soares , Julianna Barroso Rizzo , Mayara Moreira de Deus , Denis Masashi Sugita , Maurício Guilherme de Campos Viggiano , Maria Helena Tavares Vilela

{"title":"Gestação gemelar com mola hidatiforme completa e feto vivo","authors":"Leonardo Ribeiro Soares , Julianna Barroso Rizzo , Mayara Moreira de Deus , Denis Masashi Sugita , Maurício Guilherme de Campos Viggiano , Maria Helena Tavares Vilela","doi":"10.1016/j.recli.2014.10.001","DOIUrl":null,"url":null,"abstract":"<div><p>Twin pregnancy with complete hydatidiform mole coexisting with a live fetus is a rare entity, and although the recommendations are expectant management of various maternal and fetal complications are described, such as increasing the number of spontaneous abortion, premature delivery, vaginal bleeding, pre‐eclampsia and severe persistent trophoblastic disease, among other complications. In this paper, we describe the clinical course of a case of GGMC who developed thyrotoxic crisis, preeclampsia severe, termination of pregnancy and maternal need for intensive care. Fetal autopsy showed a female fetus with no apparent defects; with placental changes favoring chromosomal disorders. The evaluation of ovular remains showed villi with trophoblastic hyperplasia and vesicles, suggestive of complete mole. Currently, after 15 months of follow up, the patient remains asymptomatic with undetectable levels of chorionic gonadotropin.</p></div>","PeriodicalId":101073,"journal":{"name":"Reprodu??o & Climatério","volume":"29 2","pages":"Pages 80-83"},"PeriodicalIF":0.0000,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.recli.2014.10.001","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reprodu??o & Climatério","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S141320871400048X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 3

Abstract

Twin pregnancy with complete hydatidiform mole coexisting with a live fetus is a rare entity, and although the recommendations are expectant management of various maternal and fetal complications are described, such as increasing the number of spontaneous abortion, premature delivery, vaginal bleeding, pre‐eclampsia and severe persistent trophoblastic disease, among other complications. In this paper, we describe the clinical course of a case of GGMC who developed thyrotoxic crisis, preeclampsia severe, termination of pregnancy and maternal need for intensive care. Fetal autopsy showed a female fetus with no apparent defects; with placental changes favoring chromosomal disorders. The evaluation of ovular remains showed villi with trophoblastic hyperplasia and vesicles, suggestive of complete mole. Currently, after 15 months of follow up, the patient remains asymptomatic with undetectable levels of chorionic gonadotropin.

查看原文本刊更多论文

双子座妊娠与完整的葡萄胎和活胎儿

双胎妊娠伴有完整的葡萄胎并伴有活胎是一种罕见的情况，尽管建议对各种母体和胎儿并发症的管理进行了描述，如自然流产、早产、阴道出血、先兆子痫和严重的持续性滋养细胞疾病等并发症的数量增加。在本文中，我们描述了一例发生甲状腺毒性危象，子痫前期严重，终止妊娠和产妇需要重症监护的GGMC的临床过程。胎儿尸检显示为女性胎儿，无明显缺陷;胎盘改变有利于染色体紊乱。卵泡残留物的鉴定显示绒毛伴滋养层增生和囊泡，提示完整的痣。目前，经过15个月的随访，患者仍无症状，绒毛膜促性腺激素水平未检测到。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Reprodu??o & Climatério

自引率

0.00%

发文量