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case_images: Abdominal circumference of the fetus at 19 + 5 weeks.
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case_images: During her first trimester, she manifested symptoms congruent with hyperemesis gravidarum, notably pronounced nausea and vomiting, but no episodes of vaginal hemorrhage were reported (Figure 1).
case_images: (a) Anterior nonprevia, breech presentation, fetus with normal amniotic fluid. (b) Two fused placentas: one normal and one molar.
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case_images: A pivotal pelvic ultrasound at this time depicted a convoluted picture: a potential confluence of two placentas:one conspicuously thick and multicystic, spanning 10.7 cm, punctuated with cystic spaces and a venous lake, juxtaposed against another more svelte placental tissue (kindly refer to Figure 2(a) and (b)). Histological examination of the surgically retrieved placenta unveiled a dual confluence of structures, manifesting discrete attributes; notably, one exhibited vesicles teeming with myriad grape-like cystic formations (kindly refer to Figure 2(a) and (b)).
case_images: Two placentas one normal and other molar.
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case_images: The conspicuous void of a vascular core in numerous villi, combined with cisternogenesis and the disproportionate trophoblastic proliferation devoid of concomitant fetal vasculature, reinforced the diagnosis of a definitive complete molar gestation (Figures 3 and 4).
case_images: Two placentas one normal and other molar.
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case_images: The conspicuous void of a vascular core in numerous villi, combined with cisternogenesis and the disproportionate trophoblastic proliferation devoid of concomitant fetal vasculature, reinforced the diagnosis of a definitive complete molar gestation (Figures 3 and 4).
case_images: The newborn after 20 days from delivery.
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case_images: Sonographic evaluation, undertaken 24 h postpartum, authenticated the absence of residual placental or molar tissue (Figure 5).