A twin pregnancy with a partial mole and a concurrent viable foetus is a rare obstetrical condition. We present a case of a 24-year-old G2P1L1 diagnosed with a dichorionic pregnancy, with one sac containing alive foetus and the other showing features of a partial molar pregnancy. The patient underwent emergency hysterotomy due to complications. Histopathology confirmed partial hydatidi form mole. This case highlights the diagnostic, therapeutic and prognostic challenges in managing such rare entities.
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