三胎妊娠中伴有双活胎的完全性水胎记：病例报告与文献综述

IF 2.5 4区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Women's Health Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S484634

Qiong Li, Cancan Zou, Linli Xie, Suzhen Ran, Yanlin Chen, Tianjing Yan

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引用次数: 0

摘要

导言：在三胞胎妊娠中同时存在完全性水滴形痣和双活胎是一种极为罕见的情况，其发生率尚不清楚：本报告介绍了一例二绒毛膜双羊膜腔三胎妊娠并发完全性水滴形痣和双活胎并存的病例。患者在妊娠 30 周零 5 天时早产，两个活胎均存活至今。怀孕期间，患者被诊断为先兆子痫和肝内胆汁淤积症。分娩后，她被发现患有伴有肺转移的浸润性痣，最终成功接受了治疗：本报告强调了处理并发完全性水胎记的多胎妊娠的关键注意事项以及相关的潜在并发症。鉴于有关这种情况临床管理的文献有限，我们的研究结果为把握风险和优化患者预后提供了宝贵的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Complete Hydatidiform Mole with Twin Live Fetuses in a Triplet Pregnancy: A Case Report and Literature Review.

Introduction: The coexistence of a complete hydatidiform mole with twin live fetuses in a triplet pregnancy is an extremely rare condition with an unknown incidence.

Case report: This report presents a case of a dichorionic diamniotic triplet pregnancy complicated by the coexistence of a complete hydatidiform mole and twin live fetuses. The pregnancy resulted in a preterm delivery at 30 weeks and 5 days of gestation, with both live fetuses surviving to date. During the pregnancy, the patient was diagnosed with pre-eclampsia and intrahepatic cholestasis. Post-delivery, she was found to have an invasive mole with lung metastases, which was ultimately successfully treated.

Conclusion: This report highlights critical considerations for managing a multiple pregnancy complicated by a complete hydatidiform mole, alongside the associated potential complications. In light of the limited literature on the clinical management of this condition, our findings offer valuable insights into navigating the risks and optimizing patient outcomes.

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来源期刊

International Journal of Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

194

审稿时长

16 weeks

期刊介绍： International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.