Partial Hydatidiform Mole in a Quintuplet Pregnancy Following Intrauterine Sperm Injection: Case Report and Review of the Literature

Abstract

Partial mole occurs after intrauterine insemination and healthy fetuses are rare in the literature.

Partial hydatidiform mole occurred in a quintuplets pregnancy following an intrauterine sperm injection procedure performed for male factor infertility. Both gestational sacs were broken on the eighth week of gestation. Diamniotic dichorionic other twin pregnancies with a gestational sacs presented with two heartbeats on the 17th week of gestation, and fetuses developed normally. The gestational sac evolved from one of the partial molar pregnancies. Massive vaginal bleeding and excessive growth of the uterus necessitated termination of the pregnancy via therapeutic abortion on the 17th gestational week. Twins enclosed with their cords to a normal placental mass were consigned, accompanied by an abnormal placental mass which was a partial hydatidiform mole. Histological inspection of the curettage specimen was reported as a partial mole. The patient was followed-up for one year after abortion with no complications. Our aim in this case, the treatment of multiple pregnancies occurring vaginal bleeding should be considered necessarily be partial mole, and complete mole and early diagnosis. Late diagnosis; both psychological and physical travma to the motter.