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Tafti, M. H., Garizi, S. Z., & Mazidi, F. (2024). Tubal ectopic molar pregnancy: A case report. International Journal of Reproductive BioMedicine (IJRM), 22(5), 405–410. https://doi.org/10.18502/ijrm.v22i5.16441
https://doi.org/10.18502/ijrm.v22i5.16441
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authors
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Mojgan Hajisafari Tafti
Mojgan Hajisafari Tafti
Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
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Sajad Zare Garizi
Sajad Zare Garizi
Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
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Fatemeh Mazidi
Fatemeh Mazidi
Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Published Date
- Jul 2, 2024
Tubal ectopic molar pregnancy: A case report
Abstract
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.
Key words: Ectopic molar pregnancy, Ectopic pregnancy, Hydatidiform mole.
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.
[2] Allen L, Dawson C, Nascu P, Rouse T. A molar pregnancy within the fallopian tube. Case Rep Obstet Gynecol 2016; 2016: 4367181.
[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.
[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.
[5] Smith HO. Gestational trophoblastic disease epidemiology and trends. Clin Obstet Gynecol 2003; 46: 541–556.
[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.
[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.
[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.
[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.
[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)
[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.
[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.
[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.
[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.
[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.
[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.
[2] Allen L, Dawson C, Nascu P, Rouse T. A molar pregnancy within the fallopian tube. Case Rep Obstet Gynecol 2016; 2016: 4367181.
[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.
[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.
[5] Smith HO. Gestational trophoblastic disease epidemiology and trends. Clin Obstet Gynecol 2003; 46: 541–556.
[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.
[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.
[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.
[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.
[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)
[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.
[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.
[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.
[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.
[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.
[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.