A Rare Case of a Molar Pregnancy Coexisting with a Live Foetus in a Patient with Prior Exposure to M-2 Tone in First Trimester in Eastern Uganda: A Case Report.
Julius Nteziyaremye, Stephen Waiswa
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Case in brief
A 30-year-old Ugandan woman, gravida 3 para 1+1, presented at 19 weeks of amenorrhea with excessive weight gain and an exaggerated symphysio-fundal height. Ultrasound revealed a viable fetus alongside a molar pregnancy, despite prior scans indicating a normal pregnancy. She experienced obstetric complications but ultimately delivered a viable fetus, with the placenta showing signs of molar pregnancy. Follow-up indicated resolution of symptoms without gestational trophoblastic neoplasia.
What made this case unusual
This case highlights the rare coexistence of a molar pregnancy with a viable twin, particularly following exposure to M-2 tone in early pregnancy, which has not been documented previously.
Diagnostic / clinical pearl
Clinicians should be aware of the potential for molar pregnancies to coexist with viable fetuses, especially in patients with unusual symptoms or prior treatments.
Why it matters
Understanding this rare occurrence can aid in the management of similar cases and emphasizes the need for careful monitoring to prevent complications.