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Gaceta Médica Boliviana

On-line version ISSN 1012-2966

Abstract

MAITA QUISPE, Freddy; VILLARROEL GOITIA, Alfredo; HOCHSTATTER A, Erwin  and  GOMALES VARGAS, Andrea. Bichorial twin pregnancy with one mole complete and the other with alive fetus with septo-optic dysplasia.. Gac Med Bol [online]. 2015, vol.38, n.2, pp.62-65. ISSN 1012-2966.

Abstract Bichorial twin pregnancy with one molar transformation and the other with alive fetus is an extremely rare case. The case of a female patient of 24 years, derived from prívate practice with a diagnosis of Partial Mola with alive fetus 16 weeks. A new study finds that pregnancy is bichorial twin pregnancy with complete mole and alive fetus with Septo-optict dysplasia. The genetic diagnosis was made by amniocentesis informing: karyotype 46, XY male fetus. It was decided to carry out strict control of pregnancy. At 32 weeks gestation, the patient has spontaneous rupture of the fetal membranes. Pregnancy is concluded after administration of corticosteroids to induce pulmonary maduration; obtaining newborn with 1350 grs at birth, the APGAR score was 8 - 9. The patient had a favorable evolution, without clinical or biochemical evidence of recurrence or persistence. Postnatal study confirms prenatal diagnosis The infant has at the moment 23 months of life, not demonstrating psychomotor disturbances.

Keywords : dichorionic pregnancy; mola; septo optic dysplasia.

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