Volume 22, Issue 5 (May 2024)                   IJRM 2024, 22(5): 405-410 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hajisafari Tafti M, Zare Garizi S, Mazidi F. Tubal ectopic molar pregnancy: A case report. IJRM 2024; 22 (5) :405-410
URL: http://ijrm.ir/article-1-3336-en.html
1- Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. & Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3- Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. , mazidifateme826@gmail.com
Abstract:   (338 Views)
Background: Ectopic molar pregnancy (EMP) is a rare form of gestational trophoblastic disease that occurs when a hydatidiform mole implants outside the uterus.
Case Presentation: We 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.
Conclusion: This case highlights the need for early diagnosis and multidisciplinary treatment of EMP to avoid serious consequences from persistent trophoblastic tumors.

Full-Text [PDF 4566 kb]   (355 Downloads) |   |   Full-Text (HTML)  (33 Views)  
Type of Study: Case Report | Subject: Reproductive Oncology

References
1. Yamada Y, Ohira S, Yamazaki T, Shiozawa T. Ectopic molar pregnancy: Diagnostic efficacy of magnetic resonance imaging and review of the literature. Case Rep Obstet Gynecol 2016; 2016: 7618631. [DOI:10.1155/2016/7618631] [PMID] [PMCID]
2. Allen L, Dawson C, Nascu P, Rouse T. A molar pregnancy within the fallopian tube. Case Rep Obstet Gynecol 2016; 2016: 4367181. [DOI:10.1155/2016/4367181] [PMID] [PMCID]
3. D'Asta M, La Ferrera N, Gulino FA, Ettore C, Ettore G. Is it possible to diagnose preoperatively a tubal ectopic hydatidiform molar pregnancy? Description of a case report and review of the literature of the last ten years. J Clin Med 2022; 11: 5783. [DOI:10.3390/jcm11195783] [PMID] [PMCID]
4. Najib FS, Shiravani Z, Hajisafari M, Moradi Alamdarloo S, Hashemi A, Razavi B, et al. An unusual presentation of choriocarcinoma: A case report with a long latent period. Int J Cancer Manag 2021; 14: e103802. [DOI:10.5812/ijcm.103802]
5. Smith HO. Gestational trophoblastic disease epidemiology and trends. Clin Obstet Gynecol 2003; 46: 541-556. [DOI:10.1097/00003081-200309000-00006] [PMID]
6. Qian J, Xu S, Chen L. Cornual invasive hydatidiform mole: A rare case report and literature review. BMC Women's Health 2023; 23: 566. [DOI:10.1186/s12905-023-02727-z] [PMID] [PMCID]
7. Rabarikoto HF, Hasiniatsy NRE, Razafindrafara HE, Randriambololona DMA. Invasive mole complicating a spontaneous abortion. ARC J Gynecol Obstet 2018; 3: 21-24.
8. Rajaonera R, Franco R. Le problème de la dégénérescence post-molaire: À propos d'un diagnostic de chorioadenoma destruens. Ann de l'Univ de Mad (Medicine) 1965; 3: 25-28.
9. Beena D, Teerthanath S, Jose V, Shetty J. Molar pregnancy presents as tubal ectopic pregnancy: A rare case report. J Clin Diagn Res 2016; 10: ED10. [DOI:10.7860/JCDR/2016/14875.7089] [PMID] [PMCID]
10. Gillespie A, Lidbury E, Tidy J, Hancock B. The clinical presentation, treatment, and outcome of patients diagnosed with possible ectopic molar gestation. Int J Gynecol Cancer 2004; 14: 1366-1369. https://doi.org/10.1111/j.1048-891X.2004.014223.x [DOI:10.1136/ijgc-00009577-200403000-00026] [PMID]
11. Mbarki C, Jerbi E, Hsayaoui N, Zouari F, Ben Brahim E, Oueslati H. Molar tubal ectopic pregnancy: Report of two cases. J Obstet Gynaecol Res 2015; 41: 985-988. [DOI:10.1111/jog.12642] [PMID]
12. Leung F, Terzibachian J, Lassabe C, Knoepffler F, Maillet R, Riethmuller D. [Heterotopic ovarian hydatidiform mole: A case report]. Gynecol Obstet Fertil 2009; 37: 749-751. (in French) [DOI:10.1016/j.gyobfe.2009.04.025] [PMID]
13. Davari Tanha F, ShirAli E, Rahmanpour H, Haghollahi F. Molar pregnancy presents as tubal ectopic pregnancy. Int J Fertil Steril 2011; 4: 184.
14. Najib FS, Akbarzadeh-Jahromi M, Shiravani Z, Hajisafari Tafti M. A case of persistent intrauterine molar pregnancy with final diagnosis of heterotopic molar pregnancy: A very rare entity. Int J Cancer Manag 2022; 15: e116981. [DOI:10.5812/ijcm-116981]
15. Razafindrafara HE, Raivoherivony ZI, Vahatra JR, Hasiniatsy NRE, Randriamahavonjy R, Randrianjafisamindrakotroka NS. Invasive mole of the uterus: A case report. Open J Pathol 2022; 12: 177-182. [DOI:10.4236/ojpathology.2022.124021]
16. Rahaoui M, Zizi H, Mamouni N, Errarhay S, Bouchikhi C, Banani A, et al. Les moles invasives: Presentations cliniques et prise en charge therapeutique (A propos de2 cas et revue de la litterature). Int J Adv Res 2020; 8: 129-145. [DOI:10.21474/IJAR01/10607]
17. Tomé AI, Palma R, Antunes SC, Tavares MA, Pereira E. A metastatic invasive mole in a perimenopausal woman: A rare case. Cureus 2023; 15: e40121. [DOI:10.7759/cureus.40121]
18. Ayyash M, Kole M, Le Q, Shen Y, Swain M. Partial molar pregnancy presenting as a tubal ectopic pregnancy. Case Rep Obstet Gynecol 2022; 2022: 7414190. [DOI:10.1155/2022/7414190] [PMID] [PMCID]
19. Shen Y, Wang J, Shao Y, Gong C, Zhao R. Tubal ectopic twin pregnancy of complete hydatidiform mole and coexisting embryo: A rare case report. Medicine 2023; 102: e33922. [DOI:10.1097/MD.0000000000033922] [PMID] [PMCID]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb