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Case Studies | Obstetrics and Gynecology | India | Volume 12 Issue 10, October 2023 | Rating: 5.8 / 10
A Rare Case of Ectopic Molar Pregnancy
Dr. Nargis Choudhary | Dr. Abhijay Mehta | Dr. Anil Mehta [2]
Abstract: Background: The incidence of hydatidiform mole is 1 per 1000 pregnancies (1a). The occurrence of hydatidiform mole in ruptured tubal pregnancy is rare and consequently not often considered as a diagnostic possibility. The present case is an unusual case of ectopic molar pregnancy that highlights the importance of histopathological examination in presumed cases of ectopic pregnancy. Case report: 27 years old female with an obstetric score of G3P2L1 (NVDs) presented with chief complaints of amenorrhea since one and half months with mild abdominal pain since 1 day. Urine pregnancy test was positive. Haemodynamically, the patient was stable with a pulse of 80beats/min and a blood pressure of 120/70mmHg. Soft abdomen with tenderness in the right lower abdomen. Vaginal examination revealed presence of enlarged uterus with right sided adnexal tenderness with tender cervical movements and slight vaginal bleeding. Routine haematological and biochemical examinations were within normal limits. Pelvic ultrasound confirmed presence of a ruptured right tubal ectopic pregnancy with moderate amount of free fluid in POD. The patient was treated surgically and histopathological examination revealed presence ectopic molar pregnancy. The patient was scheduled for close follow up and counseling to reduce progression to Choriocarcinoma. Conclusion: The case highlights the importance of HPE in presumed ectopic pregnancy cases undergoing surgical treatment in-order to diagnose ectopic molar gestations early and their subsequent post treatment surveillance.
Keywords: Ectopic Molar Pregnancy
Edition: Volume 12 Issue 10, October 2023,
Pages: 1171 - 1172