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Case report


Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation.

Kavitha KrishnamoorthySabrina GerkowiczUsha Verma
Department of Obstetrics and Gynecology, Jackson Memorial Hospital, Miller School of Medicine, University of Miami, Miami, FL, USA
Date of Submission: 12-May-2016, Date of Acceptance: 18-May-2016, Date of Web Publication: 23-Jun-2016.
Corresponding Author:
Corresponding Author

Kavitha Krishnamoorthy

1611 NW 12th Avenue, Miami, FL 33136, USA.
E-mail: kavitha.krishnamoort@jhsmiami.org

Corresponding Author:
Corresponding Author

Kavitha Krishnamoorthy

1611 NW 12th Avenue, Miami, FL 33136, USA.
E-mail: kavitha.krishnamoort@jhsmiami.org

DOI: 10.4103/2156-7514.184541 Facebook Twitter Google Linkedin

ABSTRACT


A complete hydatidiform mole with a viable coexisting fetus (CMCF) is a rare occurrence. Similarly, Mullerian anomalies such as a bicornuate uterus are uncommon variants of normal anatomy. We report a case of a 40-year-old female with a known bicornuate uterus presenting at 13 weeks gestation with vaginal bleeding. Ultrasound findings showed a healthy viable pregnancy in the right horn with complete molar pregnancy in the left horn. After extensive counseling, the patient desired conservative management, however, was unable to continue due to profuse vaginal bleeding. The patient underwent suction dilation and curettage under general anesthesia and evacuation of the uterine horns. Postoperatively, the patient was followed until serum beta-human chorionic gonadotropin (β-hCG) level dropped to <5 mU. This is the first case of a CMCF reported in a bicornuate uterus, diagnosed with the use of ultrasound imaging.
Keywords: Bicornuate Uterus, Hydatidiform Mole, Twin Pregnancy, Ultrasound

Cited in 1 Document

  1. E. Scott Sills, Alexandra J. Obregon-Tito, Harry Gao, Thomas K. McWilliams, Anthony T. Gordon, Catharine A. Adams and Rima Slim (2017) Pathogenic variant in NLRP7 (19q13.42) associated with recurrent gestational trophoblastic disease: Data from early embryo development observed during in vitro fertilization. Clin Exp Reprod Med 44(1):40. doi: 10.5653/cerm.2017.44.1.40

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