Figure 2.

A: Routine transvaginal ultrasound at 12 weeks of pregnancy, showing a fetus with normal morphology and a placental area suggestive of complete hydatidiform mole. B: MRI scan at 27 weeks of pregnancy, showing a fetus without morphological anomalies and two distinct placental areas: one with a normal appearance; and the other characterized by multiple, hyperintense vesicular areas, suggesting a twin molar pregnancy. Because of severe preeclampsia-severe hypertension; hemolysis/elevated liver enzymes/low platelet count syndrome; and acute pulmonary edema—a cesarean section was performed at 28 weeks of pregnancy. The extremely premature neonate survived without sequelae. After the cesarean section, the patient showed a satisfactory evolution and was discharged from the post-molar pregnancy follow-up after 12 months of treatment with normal-dose â-hCG, without chemotherapy.