[Twin pregnancy with complete mole and coexisting fetus: Reach fetal viability is possible]

E Arsène1, E Clouqueur1, M Stichelbout2

  • 1Maternité Jeanne-de-Flandre, pôle mère-enfant, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.

Twin pregnancies combining complete hydatidiform mole and coexistent fetus are a rare situation (incidence in 1/20,000 in 1/100,000 pregnancies) and a challenge for diagnosis. Their complications can be important - bleeding, preeclampsia, miscarriage - and their management remains complex and controversial. In case of continuing the pregnancy, nearly 40% of women have lives babies. Three quarters of fetal loss occur before 24weeks gestation. We report here three new cases; only one of these cases had a favorable outcome.

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