Tubal ectopic molar pregnancy: A case report.

Mojgan Hajisafari Tafti, Zare Garizi S, Mazidi F
International journal of reproductive biomedicine · 2024 · doi:10.18502/ijrm.v22i5.16441 · PMID:39091428 · PMC11290199
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A case report describes the successful diagnosis and treatment of a rare tubal ectopic molar pregnancy in a 35-year-old woman via salpingectomy, highlighting the importance of early detection.

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This case report describes a 35-year-old woman diagnosed with an invasive hydatidiform mole located in the left fallopian tube, presenting with mild abdominal pain and elevated beta-hCG levels. Diagnostic imaging revealed a heterogeneous mass with a snowstorm appearance, leading to surgical removal via left salpingectomy, which was confirmed by histopathology showing trophoblastic hyperplasia and myometrial invasion. The patient recovered well with normalized hCG levels after surgery, highlighting that while ectopic molar pregnancies are rare and clinically similar to standard ectopics, they require strict pathological confirmation and monitoring for malignant transformation. Relevance to endometriosis: The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

BackgroundEctopic molar pregnancy (EMP) is a rare form of gestational trophoblastic disease that occurs when a hydatidiform mole implants outside the uterus.Case presentationWe describe a 35-yr-old woman with mild abdominal pain, delayed menstruation for 2 months, and high beta-human chorionic gonadotropin levels. Sonography revealed a heterogeneous hyperechoic mass in the left adnexa and fluid in the endometrial cavity, suggestive of a tubal EMP. She underwent endometrial curettage and left salpingectomy. Pathology confirmed the diagnosis of invasive hydatidiform mole/left tubal EMP. The case recovered well and had no complications.ConclusionThis case highlights the need for early diagnosis and multidisciplinary treatment of EMP to avoid serious consequences from persistent trophoblastic tumors.
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ZG.S. and M.F. designed the study. HT.M. and M.F. identified and collected the data. ZG.S. and M.F. wrote and reviewed the paper. HT.M. critically reviewed the paper. All authors approved the final version of the paper and took responsibility for its content.

Coi Statement

The authors declare that there is no conflict of interest.

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