Molar Changes with a Normal Viable Fetus: A Case Report

التفاصيل البيبلوغرافية
العنوان: Molar Changes with a Normal Viable Fetus: A Case Report
المؤلفون: Sara Kamandi, Somayeh Bolandi, Malihe Hasanzadeh, Marjaneh Farazestanian, Laya Shirinzadeh, Asieh Maleki, Zohreh Yousefi
المصدر: Journal of Family and Reproductive Health, Vol 14, Iss 3 (2020)
Journal of Family & Reproductive Health
بيانات النشر: Knowledge E, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Molar, Infertility, medicine.medical_specialty, Fetal karyotype, medicine.drug_class, Case Report, lcsh:Gynecology and obstetrics, Normal Fetus, 03 medical and health sciences, 0302 clinical medicine, Incomplete Hydatidiform Mole, Placenta, medicine, Vaginal bleeding, lcsh:RG1-991, reproductive and urinary physiology, Fetus, 030219 obstetrics & reproductive medicine, Obstetrics, business.industry, Obstetrics and Gynecology, medicine.disease, medicine.anatomical_structure, Reproductive Medicine, embryonic structures, Gestation, Apgar score, medicine.symptom, Gonadotropin, Family Practice, business
الوصف: Objective: The presence of a normal fetus with normal karyotype accompanied by molar changes in the placenta is a rare condition, which carries a significant risk to the mother and fetus. There is a controversy regarding the proper management of this condition. Here, we present the case of a singleton pregnancy that showed molar changes in the pathological study of the placenta, but ended up with a normal viable neonate. Case Report: A 23-year-old primigravida woman, with a 3-year history of infertility, presented with vaginal bleeding and spotting. Her ß-human chorionic gonadotropin (HCG) at 13th week was 36500 mIU/ml. Serial sonography assessments were suggestive for molar changes and a normal fetus with growth retardation but normal Doppler assessment. The patient underwent elective Cesarean section at 37 weeks gestation and a healthy female neonate with an Apgar score of 9-10, weighing 2270 g was born. Pathological assessment of the placenta confirmed the diagnosis of incomplete hydatidiform mole. After two months, the mother had no complications, her ß-HCG level was untraceable, and the infant was in good condition. Conclusion: Despite being a rare condition, partial moles can be accompanied by delivery of a normal fetus. The management of this condition still remains challenging and should be done under close monitoring with extreme caution.
تدمد: 1735-9392
1735-8949
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e0963561c291cbcff59def8eaf7c5bddTest
https://doi.org/10.18502/jfrh.v14i3.4675Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....e0963561c291cbcff59def8eaf7c5bdd
قاعدة البيانات: OpenAIRE