PMC4771857_01
(A) Three fetuses together with a complete molar pregnancy. (B) Measurement of molar pregnancy size. (C) Histology of the intrauterine evacuated material showing cisterns and focal trophoblastic proliferation.
CCR3-4-247-g001.jpg
PMC4771857_01_CCR3-4-247-g001.jpg
ccr3417-fig-0001
FFT3 4.3 ng\mL, FT4 3.77 ng\dL, and beta hCG 1002010 international units (IU). Trichorionic triamniotic triplets and an additional dense hyperechoic tissue measuring 9.5 * 6 cm (Fig. 1A) separated from the three sacks which fitted the sonographic description of a complete molar pregnancy was visible on ER ultrasound. Further evaluation was conducted in the maternal fetal medicine (MFM) unit. The additional tissue measured 9.5 * 8.2 cm (Fig. 1B), was separate from all three sacks and sonographically appeared as a complete molar pregnancy, which further strengthened the suspected diagnosis of a normal triplet pregnancy along with a complete molar pregnancy. The pathological report indicated a healthy placental material correlating with the live fetuses alongside a molar diseased tissue correlating with a complete mole (Fig. 1C).