Interstitial Hydatid Mole With Spontaneous Perforation and Rupture of the Uterine Cornu

Siegal, Henry A.; Rudolph, Louis

doi:10.1097/00006254-195010000-00017

Cited by 1 publication

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“…In the accessible literature, there are 14 cases described (table 1): 6 were molar pregnancies (2 partial moles,4 5 2 invasive moles2 3 and 2 unspecified6 7), 6 were choriocarcinoma,2 8–12 1 was ETT13 and 1 was unspecified GTN 14…”

Section: Discussionmentioning

confidence: 99%

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Life-threatening rupture of interstitial ectopic pregnancy: a rare presentation of metastatic invasive mole

et al. 2022

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An invasive mole is an uncommon type of gestational trophoblastic disease, and if considering its implantation in an interstitial extrauterine location, we are facing a rarer condition.There are 14 cases described of interstitial ectopic gestational trophoblastic disease. As far as we know, we present the third case of invasive mole within interstitial location, in this case with pulmonary metastases.The diagnosis of an interstitial implantation is challenging. Our patient was initially diagnosed with an intrauterine hydatidiform molar pregnancy, and a uterine aspiration was performed. Two weeks later, she presented with haemodynamical instability due to a severe haemoperitoneum. A laparotomy was immediately performed and revealed a ruptured interstitial pregnancy with molar vesicle extrusion. Besides its rarity, we highlight the clinical presentation with hypovolaemic shock due to rupture of ectopic pregnancy in a young nulliparous woman, which required an emergent surgical approach with lifesaving purpose while preserving future fertility.

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Section: Discussionmentioning

confidence: 99%

“…In the literature, there are few cases of GTD associated with interstitial ectopic pregnancies. Until October 2022, about 14 cases of interstitial ectopic GTD have been described 2–14…”

Section: Introductionmentioning

confidence: 99%