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Sad Fetus Syndrome: Partial Molar Pregnancy with a Live Fetus

Syed Adeel Hassan1, Ali Akhtar2, Zia Ud Deen3

  • 1Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Cureus
|October 26, 2018
PubMed

We report a case of partial mole and co-existing live fetus. This condition, uncommonly termed "sad fetus syndrome," is a rare subclass of gestational trophoblastic disease. Our case involves a 25-year-old primigravid woman who presented to the outpatient department at 18 weeks of gestation with lower abdominal pain, vaginal spotting, and severe nausea. Ultrasound revealed a "grape bunch" appearance and a live, coexisting fetus. The patient underwent spontaneous abortion around the twentieth week of gestation. A postoperative ultrasound revealed an empty uterine cavity. She was discharged a few days afterward but was advised to follow up with serial repeat measurements of her beta-human chorionic gonadotropin levels.

Keywords:
: partial moleco-existing live fetusgestational trophoblastic diseasesmaternal complicationssad fetus syndrome pakistan

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