DOI: 10.36347/sjmcr.2018.v06i08.026

Pages: 585-589

Pregnancies with a hydatidiform mole and a live fetus are rare form of trophoblastic gestational disease, this situation occurs in about 1 in 20 000 to 1 in 100 000 gestations. The symptomatology is poor and the diagnosis can be made by ultrasound assessment. Management is still problematic seen that fetal survival is constrained by complications of molar pregnancy. The risk of persistent trophoblastic disease in twin molar pregnancies is higher compared to single mole .We report here a case of a woman who consulted for vaginal spotting and vomiting in the first trimester twin pregnancy with partial hydatidiform mole detected by ultrasound. Following spontaneous miscarriage, histopathological examination findings were compatible with a partial mole pregnancy coexisting with normal diploid fetus.