<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000900727</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i9.5070</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo gemelar con mola hidatiforme completa y feto vivo coexistente]]></article-title>
<article-title xml:lang="en"><![CDATA[Twin pregnancy with complete hydatidiform mole and coexisting live fetus.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santiago-Sanabria]]></surname>
<given-names><![CDATA[Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Romero]]></surname>
<given-names><![CDATA[Aurora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Villafaña]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Lomas  ]]></institution>
<addr-line><![CDATA[Huixquilucan Estado de México]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Lomas  ]]></institution>
<addr-line><![CDATA[Huixquilucan Estado de México]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>9</numero>
<fpage>727</fpage>
<lpage>734</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000900727&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000900727&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000900727&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La incidencia de embarazos gemelares con mola hidatiforme es de 1 caso en 20,000 a 100,000 gestaciones. La mola hidatiforme completa se origina de un óvulo vacío, sin material genético materno fecundado por un espermatozoide, que duplica su material genético. En el ultrasonido se observa un patrón en &#8220;copos de nieve&#8221;. Existen dos tipos de atención: conducta expectante o interrupción del embarazo, en ambas situaciones con previa valoración de los riesgos maternos potenciales. Cualquier decisión debe tomarse en conjunto con la paciente y el obstetra.  CASO CLÍNICO: Paciente de 43 años, en quien se efectuaron técnicas de reproducción asistida para lograr el embarazo, el conseguido fue: gemelar, bicorial y biamniótico. Posteriormente, por métodos de imagen, se estableció el diagnóstico de embarazo gemelar, con mola hidatiforme y feto vivo coexistente. En el ultrasonido se observó un feto vivo, de 11.3 semanas y mola hidatiforme. Lo observado se corroboró en la resonancia magnética y se delimitó el embarazo molar. Se aplicó metotrexato y se efectuó la aspiración manual endouterina. El análisis de histopatología corroboró el diagnóstico. Se llevó a cabo el seguimiento semanal de la fracción beta libre de la gonadotropina coriónica humana (&#946;-GCh) hasta la desaparición completa del cuadro.  CONCLUSIONES: Puesto que esta anomalía del embarazo es sumamente rara, las pacientes deben ser atendidas por un equipo multidisciplinario que integre el diagnóstico y valore la mejor conducta a seguir y prevenir las diversas complicaciones posibles. La aspiración uterina es la conducta más segura para las pacientes con factores de riesgo de neoplasia trofoblástica gestacional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: The incidence of twin pregnancies with hydatidiform mole is 1 case in 20,000 to 100,000 pregnancies. The complete hydatidiform mole originates from an empty ovum, without maternal genetic material, fertilized by a sperm, which duplicates its genetic material. In the ultrasound a pattern in &#8220;snowflakes&#8221; is observed. There are two types of care: expectant management or termination of pregnancy, in both situations with prior assessment of potential maternal risks. Any decision must be made in conjunction with the patient and the obstetrician.  CLINICAL CASE: 43-year-old patient, who underwent assisted reproduction techniques to achieve pregnancy, the one achieved was: twin, bichorionic and bi-amniotic. Subsequently, by imaging methods, the diagnosis of twin pregnancy was established, with a hydatidiform mole and a coexisting live fetus. The ultrasound revealed a live fetus, 11.3 weeks old, with a hydatidiform mole. What was observed was corroborated on magnetic resonance imaging and the molar pregnancy was delimited. Methotrexate was applied and manual vacuum aspiration was performed. Histopathology analysis confirmed the diagnosis. Weekly monitoring of the free beta fraction of human chorionic gonadotropin (&#946;-hCG) was carried out until the symptoms had completely disappeared.  CONCLUSIONS: Since this pregnancy anomaly is extremely rare, the patient must be cared for by a multidisciplinary team that integrates the diagnosis and evaluates the best course of action to follow and prevent the various possible complications. Uterine aspiration is the safest approach for patients with risk factors for gestational trophoblastic neoplasia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo gemelar]]></kwd>
<kwd lng="es"><![CDATA[mola hidatiforme]]></kwd>
<kwd lng="es"><![CDATA[esperma]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido]]></kwd>
<kwd lng="es"><![CDATA[conducta expectante]]></kwd>
<kwd lng="es"><![CDATA[técnicas de reproducción]]></kwd>
<kwd lng="es"><![CDATA[feto]]></kwd>
<kwd lng="en"><![CDATA[Twin pregnancies]]></kwd>
<kwd lng="en"><![CDATA[Hydatidiform mole]]></kwd>
<kwd lng="en"><![CDATA[Sperm]]></kwd>
<kwd lng="en"><![CDATA[Ultrasound]]></kwd>
<kwd lng="en"><![CDATA[Expectant management]]></kwd>
<kwd lng="en"><![CDATA[Reproduction techniques]]></kwd>
<kwd lng="en"><![CDATA[Fetus]]></kwd>
</kwd-group>
</article-meta>
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