Ectopic molar pregnancy, rare entity: new case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20231944Keywords:
Gestational trophoblastic disease, Ectopic pregnancy, Ectopic molar pregnancy, Monitoring, Anatomopathological studyAbstract
We report in this work the case of a 24-year-old patient who was admitted to the emergency room with an acute abdomen, the investigations were in favor of a ruptured EP, the patient underwent a salpingectomy the same day due to the state of the tube, the anatomopathological study of the product was in favor of an ectopic GTD, the patient benefited from a monitoring of the levels of BCHG according to the recommended protocols, we discussed through this case the different clinical and therapeutic aspects of this rare entity.
References
Lok C, Frijstein M, Trommel N. Clinical presentation and diagnosis of Gestational Trophoblastic Disease. Best Pract Res Clin Obstet Gynaecol. 2021;74:42-52.
Adli AG. Hydatidiform mole in the fallopian tube. Int Surg. 1976;61(2):84-5.
Ghassemzadeh S, Farci F, Kang M. Hydatidiform Mole. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2023.
Benson CB, Genest DR, Bernstein MR, Soto-Wright V, Goldstein DP, Berkowitz RS. Sonographic appearance of first trimester complete hydatidiform moles. Ultrasound Obstet Gynecol. 2000;16(2):188-91.
Naumoff P, Szulman AE, Weinstein B, Mazer J, Surti U. Ultrasonography of partial hydatidiform mole. Radiology. 1981;140(2):467-70.
Lurain JR. Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole. Am J Obstet Gynecol. 2010;203(6):531-9.
Ngan HYS, Seckl MJ, Berkowitz RS, Xiang Y, Golfier F, Sekharan PKet al. Update on the diagnosis and management of gestational trophoblastic disease. Int J Gynaecol Obstet. 2018;143(2):79-85.
Rahaoui M. Grossesse molaire tubaire: a propos de 05 cas et revue de la litterature tubal hydatidiform mole: 05 cases report and literature review. Int J Adv Res. 2020;8(02):1256-62.
Gillespie AM, Lidbury EA, Tidy JA, Hancock BW. The clinical presentation, treatment, and outcome of patients diagnosed with possible ectopic molar gestation. Int J Gynecol Cancer. 2004;14(2):366-9.
Muto MG, Lage JM, Berkowitz RS, Goldstein DP, Bernstein MR. Gestational trophoblastic disease of the fallopian tube. J Reprod Med. 1991;36(1):57-60.
Burton JL, Lidbury EA, Gillespie AM, Tidy JA, Smith O, Lawry J, Hancock BW, Wells M. Over-diagnosis of hydatidiform mole in early tubal ectopic pregnancy. Histopathology. 2001;38(5):409-17.
López CL, Lopes VGS, Resende FR, Steim JL, Padrón L, Sun SY, et al. Gestational Trophoblastic Neoplasia after Ectopic Molar Pregnancy: Clinical, Diagnostic, and Therapeutic Aspects. Rev Bras Ginecol Obstet. 2018;40(5):294-9.
Dollinger S, Yeoshoua E, Eitan R. A rare case of gestational trophoblastic neoplasia following an ectopic molar pregnancy. Gynecol Oncol Rep. 2021;37:100798.