PERSISTENCE OF PARTIAL MOLAR PLACENTA AND SEVERE PREECLAMPSIA AFTER SELECTIVE TERMINATION IN A TWIN PREGNANCY

BACKGROUNDTriploid molar pregnancies are usually managed by evacuation of the uterine contents. CASEA 25-year-old woman had a clomphene citrate-induced twin pregnancy. Ultrsound scan at 13 weeks revealed one anomalous twin. Cytogenetic analysis revealed a karyotype of 69, XXY and a normal other twin. In an attempt to salvlage the normal fetus, selective terminaion was successfully performed at 15 weeks by intracardiac potassium chloride injection. However, the placenta continued to grow and severe preeclampsia developed at 19 weeks, requiring pregnancy termination. CONCLUSIONSelective termination of a triploid twin does not guarantee resolution of molar growth and sequelae of the mole; severe preeclampsia can still develop.