Case report, case study
https://doi.org/10.64332/ujbb.25.1.8
Complete Molar Cervical Previal Pregnancy with a Viable Co-Twin and Placental Percreta Following Corporal Hysterotomy: A Case Report
Dubravko Habek
orcid.org/0000-0002-7675-7064
; University Department of Nursing, Catholic University of Croatia, Zagreb, Croatia
*
* Corresponding author.
Abstract
Background: Cases of coexistence of a twin molar pregnancy with a living second fetus are known in the literature, with different outcomes and treatment options, from uterine preservation procedures and cesarean section to hysterectomy due to the vital threat to the pregnant woman. Later pregnancies are dependent on uterine preservation - evacuation procedures in the fi rst pregnancy. Aim: Obstetrics forensic commentaries on the management of two different trophoblastic diseases. Methods: This extremely rare case of previal cervical molar pregnancy in a twin pregnancy and primary completion by laparotomy in the fi rst pregnancy is directly related to the occurrence of placental percretism with hematoperitoneum at 30 weeks of pregnancy due to distension and rupture of a placental blood vessel and supracervical hysterectomy. Conclusion: Thus, these problems became professional failures with an irreversible “domino effect”. After such decisions and treatment, menstruation and reproduction were prevented by hysterectomy, and the possible treatment options for such conditions in the fi rst and second pregnancies are discussed in the text with a forensic perspective.
Keywords
molar pregnancy; cervical pregnancy; placenta accreta spectrum; hysterectomy; treatment; medicolegality
Hrčak ID:
334395
URI
Publication date:
2.6.2025.
Visits: 268 *