Complete Molar Cervical Previal Pregnancy with a Viable Co-Twin and Placental Percreta Following Corporal Hysterotomy

Background: Cases of coexistence of a twin molar pregnancywith a living second fetus are known in the literature,with different outcomes and treatment options, fromuterine preservation procedures and cesarean section tohysterectomy due to the vital threat to the pregnant woman.Later pregnancies are dependent on uterine preservation -evacuation procedures in the fi rst pregnancy.Aim: Obstetrics forensic commentaries on the managementof two different trophoblastic diseases.Methods: This extremely rare case of previal cervical molarpregnancy in a twin pregnancy and primary completion bylaparotomy in the fi rst pregnancy is directly related to theoccurrence of placental percretism with hematoperitoneumat 30 weeks of pregnancy due to distension and rupture ofa placental blood vessel and supracervical hysterectomy.Conclusion: Thus, these problems became professionalfailures with an irreversible “domino effect”. After suchdecisions and treatment, menstruation and reproductionwere prevented by hysterectomy, and the possible treatmentoptions for such conditions in the fi rst and second pregnanciesare discussed in the text with a forensic perspective.