Dubravko Habek

DOI: https://www.doi.org/10.64332/ujbb.25.1.8

Abstract
Background: Cases of coexistence of a twin molar pregnancy with a living second fetus are known in the literature, with different outcomes and treatment options, from uterine preservation procedures and cesarean section to hysterectomy due to the vital threat to the pregnant woman. Later pregnancies are dependent on uterine preservation – evacuation procedures in the first pregnancy.

Aim: Obstetrics forensic commentaries on the management of two different trophoblastic diseases.

Methods: This extremely rare case of previal cervical molar pregnancy in a twin pregnancy and primary completion by laparotomy in the first pregnancy is directly related to the occurrence of placental percretism with hematoperitoneum at 30 weeks of pregnancy due to distension and rupture of a placental blood vessel and supracervical hysterectomy.

Conclusion: Thus, these problems became professional failures with an irreversible “domino effect”. After such decisions and treatment, menstruation and reproduction
were prevented by hysterectomy, and the possible treatment options for such conditions in the first and second pregnancies are discussed in the text with a forensic perspective.

Keywords: molar pregnancy, cervical pregnancy, placenta accreta spectrum, hysterectomy, treatment, medicolegality