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Living fetus without congenital malformation in a singleton partial hydatidiform molar pregnancy: a case report and review of the literature

Babita Ramani, Ojaswini Patel, Santosh Kumar Behera, Sharmila Pradhan, Soumya Ranjan Panda.

Abstract
A 36 years old lady gravida 2 para 1, came to our emergency ward at 9:30 pm on 12th June 2010 with complains of bleeding p/v for 2 hours with history of bleeding at 12 weeks. On examination she was anemic and uterus was 32 weeks size with good fetal heart sound. Bleeding was coming through os, on p/s examination. Ultrasonography showed a single live fetus of 1033 grams and thickened placenta (79 mm thickness) showing multiple cystic lesion with peripheral hypervascularity, giving an impression of partial hydatidiform mole. She was managed conservatively and delivered a live preterm male child of 960 grams on 13th June 2010 evening without any congenital malformation. Placental weight was 1800 grams with multiple small vesicles. Now the boy is 4 years old and going to school with normal developmental milestone.

Key words: Thickened placenta, Partial hydatidiform mole, Congenital malformation, Developmental milestone



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