Sad Fetus Syndrome: Partial Molar Pregnancy with a Live Fetus

We report a case of partial mole and co-existing live fetus. This condition, uncommonly termed "sad fetus syndrome," is a rare subclass of gestational trophoblastic disease. Our case involves a 25-year-old primigravid woman who presented to the outpatient department at 18 weeks of gestatio...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2018-08, Vol.10 (8), p.e3175
Main Authors: Hassan, Syed Adeel, Akhtar, Ali, Ud Deen, Zia, Khan, Maham, Jamal, Somia, Sohail, Sana, Azeem Dar, Abdur Rehman, Masood Noori, Muhammad Atif
Format: Article
Language:English
Subjects:
Abdomen
Amniocentesis
Anemia
Case reports
Diagnostic tests
Fetuses
Health sciences
Hospitals
Hypertension
Internal medicine
Medicine
Menstruation
Miscarriage
Obstetrics/Gynecology
Placenta
Pregnancy
Sepsis
Ultrasonic imaging
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Description
Summary:We report a case of partial mole and co-existing live fetus. This condition, uncommonly termed "sad fetus syndrome," is a rare subclass of gestational trophoblastic disease. Our case involves a 25-year-old primigravid woman who presented to the outpatient department at 18 weeks of gestation with lower abdominal pain, vaginal spotting, and severe nausea. Ultrasound revealed a "grape bunch" appearance and a live, coexisting fetus. The patient underwent spontaneous abortion around the twentieth week of gestation. A postoperative ultrasound revealed an empty uterine cavity. She was discharged a few days afterward but was advised to follow up with serial repeat measurements of her beta-human chorionic gonadotropin levels.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.3175