Summary:
Gestational Trophoblastic diseases consist of a broadspectrum
of conditions ranging from an uncomplicated partial
hydatidiform molar pregnancy to stage -IV choriocarcinoma
with cerebral metastasis. Incidence of hydatidiform mole
with a co-existing live fetus varies between 0.005 to 0.01 %
of all pregnancies. We report a case of partial molar
pregnancy with alive term IUGR (intrauterine growth
retardation) foetus. Diagnosis was made by sonographic
findings of molar changes at her 28 weeks of gestation.
Anomaly scan showed no fetal abnormality. At 40 weeks of
pregnancy patient went to spontaneous labour and delivered
a severely IUGR baby weighing 1.5 kg and it was
morphologically normal. There was a single placenta; one
third of it was replaced by molar tissue. As the singletone
alive pregnancy with partial molar changes is extremely rare
occurrence we reported the case here.
Keywords: Partial mole, IUGR, alive foetus.
(J Bangladesh Coll Phys Surg 2016; 34: 164-167)