Torsion theca lutein cyst in association with invasive mole presenting as acute abdomen: a rare case

Authors

  • Radhamani S. Department of Obstetrics and Gynaecology, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Sushma V. Dev Department of Obstetrics and Gynaecology, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Akhila M.V. Department of Obstetrics and Gynaecology, Mysore Medical College and Research Institute, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20150468

Keywords:

Beta-human chorionic gonadotropin, Gestational trophoblastic neoplasia (GTN), Invasive mole, Theca lutein cyst, Torsion, PSTT

Abstract

Gestational trophoblastic neoplasias (GTN) are rare tumours that constitute less than 1% of all gynaecological malignancies. Invasive mole is a distinct subgroup of GTN, which if not diagnosed and treated early, can result in serious complications like uterine perforation and haemoperitoneum. We present a rare case of torsion theca lutein cyst in association with invasive mole of the uterus, which developed following the evacuation of a molar pregnancy with features of continued irregular vaginal bleeding, persistently high βHcg levels along with acute abdomen.

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References

Ngan HY, Bender H, Benedet JL, Jones H, Montruccoli GC, Pecorelli S. FIGO Committee on Gynecologic Oncology. Gestational trophoblastic neoplasia, FIGO 2000 staging and classification. Int J Gynaecol Obstet. 2003;83 Suppl 1:175-77

Hammond CB. Gestational trophoblastic neoplasms. In: Scott JR, DiSaia PJ, and Spellacy WN (Eds). Danforth’s Obstetrics and Gynecology, 8th ed. Philadelphia: Lippincott Williams & Wilkins 1999:927-937.

Moodley M, Tunkyi K, Moodley J. Gestational trophoblastic syndrome: an audit of 112 patients. A South African experience. Int J Gynecol Cancer 2003;13:234-9.

Kavitha Nair, Hanaa Al-Khawari. Invasive mole of the uterus – a rare case diagnosed by ultrasound: a case report. Med Ultrason 2014;16(2):175-7.

Soper JT, Mutch DG, Schink JC. American College of Obstetricians and Gynecologists. Diagnosis and treatment of gestational trophoblastic disease: ACOG Practice Bulletin No.53. Gynecol Oncol 2004;93:575-85.

Maeda K, Kurjak A, Varga G, Honemeyer U. Trophoblastic diseases. DSJUOG. 2012;6:27-42.

Amandeep K, Shashi G, Vikram M, Rajni G. Invasive mole presenting as acute abdomen. J&K -India 2011;13:35-6.

Mackenzie F, Mathers A, Kennedy J. Invasive hydatidiform mole presenting as an acute primary haemoperitoneum. Br J Obstet Gynecol 1993; 100:953-54

Mazur MT, Kurman RJ: Choriocarcinoma and placental site tumor. In Szulman AE, Buchsbaum HJ (Eds): Gestational Trophoblastic Disease. New York, Springer- Verlag, 1987;45-68.

Morrow CP, Kletzky OA, DiSaia PJ et al: Clinical and laboratory correlates of molar pregnancy and trophoblastic disease. Am J Obstet Gynecol 1977;128:424-9.

Curry SL, Hammond CG, Tyrey L et al: Hydatidiform mole: Diagnosis, management and long-term follow up of 347 patients. Obstet Gynecol 1975;45:1-8.

Montz FJ, Schlaerth JB, Morrow CP: The natural history of theca lutein cysts. Obstet Gynecol 1988;72:247-51.

Xiang Y, Yang X, Zhang L. Evaluation of emergency surgery in gestational trophoblastic tumours. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1997;19(5):369-72.

Xiang Y, Yang X, Du J. The role of hysterectomy in the therapy of gestational trophoblastic tumor. Zhonghua Zhong Liu Za Zhi. 1999;21:139-41.

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Published

2017-02-09

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Case Reports