DOI: https://doi.org/10.36347/sjmcr.2025.v13i03.028

Pages: 450-454

Background: Partial molar pregnancy is a rare and complex form of gestational trophoblastic disease that presents significant challenges in diagnosis and management. While it typically features abnormal placental development, it can occasionally coexist with a viable fetus, complicating clinical decision-making. Early recognition is critical to prevent complications such as hemorrhage, persistent trophoblastic disease, and potential impacts on future fertility. This report presents the case of a young woman with a high-risk pregnancy that was ultimately diagnosed as a partial molar pregnancy, emphasizing the importance of vigilance and timely intervention in atypical presentations. Case Presentation: A 29-year-old woman with a planned pregnancy presented with high-risk features, including a retroplacental collection and elevated fetal heart rate. A follow-up ultrasound revealed a partial molar pregnancy. The pregnancy was safely terminated via uterine evacuation, confirmed by histopathology. This case underscores the importance of early diagnosis and vigilant management in high-risk pregnancies. Conclusion: In conclusion, this case underscores the importance of prompt recognition and management of partial molar pregnancies. The presence of fetal cardiac activity and atypical ultrasound findings in this patient presented a diagnostic challenge, requiring careful interpretation and a multidisciplinary approach. Early intervention, coupled with meticulous planning, ensured an optimal outcome for the patient.