Abstract

Background: Molar pregnancy is a rare condition; its ectopic form is even rarer occurring in 1.5 per 1,000,000 pregnancies. Aim: We report a case of ectopic molar pregnancy located in the fallopian tube and draw attention to the importance of systematic histological examination in any ectopic pregnancy. Case report: A 32-year-old primigravida woman presented with metrorrhagia in a context of about 2 months of amenorrhea. An ectopic pregnancy was diagnosed by ultrasonography. A Laparotomy was performed and a ruptured left ampullary ectopic pregnancy was found, and a total left salpingectomy was performed. The pathologic examination and the histological examination show an aspect of a partial molar ectopic tubal pregnancy. Conclusion: Ectopic molar pregnancy is a rare entity, its diagnosis requires histological confirmation. Beta-HCG monitoring is the essential tool for monitoring the postoperative evolution.

Highlights

  • Aim: We report a case of ectopic molar pregnancy located in the fallopian tube and draw attention to the importance of systematic histological examination in any ectopic pregnancy

  • Case report: A 32-year-old primigravida woman presented with metrorrhagia in a context of about 2 months of amenorrhea

  • The pathologic examination and the histological examination show an aspect of a partial molar ectopic tubal pregnancy

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Summary

Introduction

Ectopic pregnancy occurs mainly at the Fallopian tube (98% of cases). Molar pregnancy or hydatidiform mole is the most frequent entity of gestational trophoblastic diseases. It is a rare pathology with an incidence of occurrence of 1 per 1000 pregnancies [1]. It develops in the vast majority of cases in the uterine cavity but can occur in any site. Its extra uterine form (molar EP) remains rare, with an incidence of 1.5 per 1,000,000 pregnancies [2] [3]. We report a case of ectopic molar pregnancy located in the fallopian tube

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