Cornual Molar Ectopic Pregnancy: A Case Report with Difficult Management in Poor Resources Settings

Abstract

Molar pregnancy is a rare entity and ectopic location of pregnancy in the uterine horn represents the least frequent site of implantation. This paper presents a rare case of molar cornual ectopic pregnancy at advanced gestational age with a particular difficulty in diagnosis and management. A 35-year-old woman, gravida 4 para 3 with a history of 12 weeks amenorrhea, was operated for presumed ruptured ectopic pregnancy. Per-operative findings showed swollen villi in clusters that looked like bunches of grapes, characteristic of a complete hydatiform mole, located at the left horn of the uterus. Histopathologic examination confirmed the diagnosis. Bleeding could not be controlled with suturing and hysterectomy was eventually done. Although rare, molar pregnancy can be ectopic. If it is located at the uterine horn, bleeding may be difficult to control if at a gestational age of 12 weeks or more.