Molar ectopic pregnancy; an unusal presentation. A case report

ABSTRACT

Ectopic molar pregnancy is a rare occurrence. Clinical diagnosis of a molar pregnancy is difficult but histopathology is the gold standard for diagnosis. The management of ectopic molar pregnancies consists of surgically removing the conceptus, follow up and chemotherapy, if required. We are reporting a case report of a 35-year-old married, nulliparous woman, admitted in emergency with a 6-week history of amenorrhea, severe abdominal pain and an episode of fainting at home. Per abdominal examination revealed tenderness over the right iliac fossa, with guarding and rigidity. Diagnosis of ruptured ectopic pregnancy was made.Emergency laparotomy was done. Histopathological examination, showed tubal ectopic pregnancy with partial hydatidiform mole and a separate corpus luteal cyst. She was followed up with serial beta hCG which became normal within 1 month. Although ectopic molar pregnancy is a rare entity but all ectopic pregnancies should be examined histologically to rule out presence of gestational trophoblastic disease to plan follow-up accordingly in order to avoid persistent gestational trophoblastic disease which has a chance of malignant conversion.The prognosis of ectopic molar pregnancies is the same as for other forms of gestational trophoblastic disease