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Case Report
MRI of complete hydatidiform mole with normal hCG and viable intrauterine pregnancy
1 Medical student, Technion - Israel Institute of Technology School of Medicine, Haifa, Israel
2 Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel
3 Adjunct Professor of Radiology, The George Washington University School of Medicine, 2300 I St NW, Washington, DC 20052, USA; Chairman of Medical Imaging, Rambam Health Care Campus, HaAliya HaShniya St 8, Haifa 3109601, Israel
Address correspondence to:
Marcia C Javitt
MD, Adjunct Professor of Radiology, The George Washington University School of Medicine, 2300 I St NW, Washington, DC 20052, USA; Chairman of Medical Imaging, Rambam Health Care Campus, HaAliya HaShniya St 8, Haifa 3109601,
Israel
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Article ID: 100089Z08SW2021
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Weinstein S, Ginsberg Y, Reiss A, Javitt MC. MRI of complete hydatidiform mole with normal hCG and viable intrauterine pregnancy. J Case Rep Images Obstet Gynecol 2021;7:100089Z08SW2021.ABSTRACT
Introduction: Coexistent complete mole with a concomitant live fetus is a rare occurrence. Initially it may be identified by Ultrasound (US). Magnetic resonance imaging (MRI) is a useful alternative to US because MRI depicts the molar mass as separate from the live fetus, its monochorionic monoamniotic gestational sac and normal appearing placenta.
Case Report: A rare case of complete hydatidiform mole with concomitant live intrauterine pregnancy and normal level of serum human chorionic gonadotropin (hCG) is reported. Obstetrical US showed an indeterminate multi-cystic lenticular shaped uterine mass without ovarian theca lutein cysts. Magnetic resonance imaging showed the molar mass as separate from the live fetus within its gestational sac and a normal placenta. Although partial mole was favored because of the normal hormone level, pathology showed a complete mole after delivery of a live fetus.
Conclusion: This case highlights the utility of MRI for diagnosis and optimized management if US and clinical findings are indeterminate.
Keywords: Complete hydatidiform mole, Human serum chorionic gonadotropin, Intrauterine pregnancy
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Author Contributions
Sarah Weinstein - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Yuval Ginsberg - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ari Reiss - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Marcia C Javitt - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Sarah Weinstein et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
