Twin pregnancy with a complete hydatidiform mole and a coexisting live fetus rare entity

Shahila Sheik*, Nihal Al-Riyami, Namitha R. Mathew, Rashid Al-Sukaiti, Asim Qureshi, Mariam Mathew

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)


A hydatidiform mole with a coexisting live fetus is a rare occurrence and the optimal management for this condition is not yet known. We report the case of a 32-year-old woman (gravida 3, para 2) who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in March 2012 at 13 gestational weeks with abdominal pain and vaginal bleeding. An ultrasound examination revealed a hydatidiform mole pregnancy coexisting with a live fetus. After extensive counselling, the patient and her husband opted for a conservative management approach. Unfortunately, a hysterotomy had to be performed at 17 gestational weeks due to severe haemorrhage. The postoperative period was uneventful and histopathology results confirmed one complete mole with a coexisting fetus and normal placenta. The patient’s serum β-human chorionic gonadotropin level remained normal for 18 months following her surgery.

Original languageEnglish
Pages (from-to)e550-e553
JournalSultan Qaboos University Medical Journal
Issue number4
Publication statusPublished - Nov 2015


  • Case report
  • Fetus
  • Human chorionic gonadotropin
  • Hydatidiform mole
  • Hysterotomy
  • Oman
  • Placenta
  • Twin pregnancy

ASJC Scopus subject areas

  • General Medicine


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