Twin pregnancy with complete hydatidiform mole and coexisting live fetus complicated with HELLP syndrome

Hydatidiform mole with a coexisting live twin is an extremely rare event. It poses a great challenge for the obstetrician to decide for or against continuation of such a pregnancy, especially if the conception is after infertility treatment. Continuation carries risk of medical complications and persistent trophoblastic disease. We report a case of 22 year old primigravida, with complete hydatidiform mole coexisting with a live fetus. Patient had conceived in her fourth cycle of ovulation induction and wanted to continue pregnancy. She developed severe preeclampsia and HELLP syndrome. In this case report we highlight the importance of intense antenatal monitoring and the possibility of sudden deterioration of maternal condition forcing immediate termination. [Int J Reprod Contracept Obstet Gynecol 2013; 2(1.000): 92-94]