Partial molar pregnancy with hydrops fetalis causing intrauterine fetal demise: A case report

Abstract

Key Clinical Message Timely prenatal diagnosis, regular checkups, and comprehensive counseling are vital in preventing and managing complications in high‐risk pregnancies like partial molar pregnancy with hydrops fetalis. Abstract A live singleton fetus with partial molar pregnancy is a rare condition. We report a case of partial mole with hydrops fetalis causing intrauterine fetal demise (IUFD) in the third trimester. Our case involves a 20‐year primigravid without prior antenatal checkups who presented to outpatient department at 31 weeks and 5 days of gestation with lower abdominal pain, backache, vaginal spotting, and decreased fetal movement. Ultrasound revealed partial mole, hydrops fetalis, and IUFD. The patient underwent induced delivery expelling a 1900 gm female fetus with no viability and a placenta containing 650 gm of molar tissue. Placental tissue with cystic component was confirmed as molar tissue by histopathological examination. She was discharged a few days afterward and had undetectable beta‐human chorionic gonadotropin levels after a month. Prenatal diagnosis, counseling, rigorous antepartum surveillance, and appropriate postpartum follow‐up are essential for the best possible mother and fetal outcomes.

Keywords

• gestational trophoblastic diseases
• hydropic degeneration
• hydrops fetalis
• IUFD