Partial mole in the second trimester

Albana Cerekja MD.,PhD.*, Carlo Figliolini MD., PhD.**, Francesco Cecinato MD PhD***, Juan Piazze MD.,PhD.****

*     Pediatric Cardiology. Policlinico Umberto I. University “La Sapienza” Rome, Italy
**   Reparto di ostetricia e ginecologia, Ospedale Fatebenefratelli San Pietro Rome, Italy .
***  Obstetrics Department. Policlinico Umberto I. University “La Sapienza” Rome, Italy.
**** Ultrasound Division, Ceprano Hospital, Ceprano, Italy.
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Images 3,4: 17 weeks, fetus was growth restricted (growth corresponded to 15 week), see normal profile, face and axial view of the brain. The bowel is hyperechoic.

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Images 5,6: 18 weeks, intrauterine fetal demise with fetal hydrops.

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Images 7,8: Image 7 shows reverse flow in ductus venosus at 12 weeks and normal flow at 17 weeks. Image 8 shows theca-lutein ovarian cysts.

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Images 9,10:  Placenta with molar degenerations, multiple anechoic cysts, high placenta.

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Videos 1,2: Videos show placentomegaly with multiple, avascular cystic areas.



Video 3: 4-chamber view, a color Doppler shows a pulmonary regurgitation.

 

References:

1. Jauniaux E. Trophoblastic diseases and pregnancy. Review. The Obstetrician & Gynaecologist 2003;5:130-5
2. Tongsong, T. and Boonyanurak, P. Placental thickness in the first half of pregnancy. J Clin Ultrasound 2004;32: 231–234.
3. Chukwuemeka Ohagwu Ch, Oshiotse Abu P, Effiong Udoh B. Placental thickness: A sonographic indicator of gestational age in normal singleton pregnancies in Nigerian women. Internet Journal of Medical Update 2009 July;4(2):9-14
4. Harris RD, Alexander RD. Ultrasound of the placenta and umbilical cord. In: Callen PW, eds. Ultrasonography in obstetrics and gynecology. Philadelphia, Pa: Saunders, 2000;597-625.











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