Tubal ectopic twin pregnancy of complete hydatidiform mole and coexisting embryo: A rare case report

Abstract

Rationale: Ectopic twin gestation involving a complete hydatidiform mole (CHM) and coexisting embryo is an exceedingly rare occurrence. Patient concerns: In this report, we present the case of a 22-year-old female (gravida2, para 1) who was in her 8th week of gestation and presented with abdominal pain. Due to the detection of active bleeding and a ruptured right fallopian tube, the patient underwent a salpingectomy on the right side. Diagnosis: The patient was diagnosed with an ectopic twin gestation involving a CHM and coexisting embryo. Interventions: The patient was treated with right-side salpingectomy. Outcomes: The operation was successful and her recuperation was satisfactory. Lessons: In the management of ectopic pregnancy involving CHM, it is crucial to enhance the accuracy of preoperative diagnosis. Additionally, histopathological examination of the salpingectomy specimen and conceptus is definitely essential for accurate diagnosis and appropriate follow-up management of tubal pregnancies.

The 18th International Twin Congress, and a Look at Twin Research in Wales/Twin Research Reviews: Temperamental Similarities and Twin Relations; Maximizing Twin Designs; Rare Tubal Ectopic Pregnancy; Twins’ Academic Self-Concept Formation/In the Media: Identical Infant Twins Reunited; Birth of Identical-Fraternal Quadruplets; Identical Twin Comedians; ‘Twice in a Lifetime’: Meeting an Unrelated Look-Alike; Twins in the Tour de France

“…A molar pregnancy occurs when an egg and sperm join incorrectly at fertilization, creating a noncancerous tumor (Cleveland Clinic, 2023). The apparently first case of an ectopic twin gestation of complete hydatidiform mole and coexisting embryo was recently reported by a research team from China (Shen et al, 2023). A hydatidiform mole is a rare growth or mass that forms inside the uterus early in pregnancy (Medline, 2023).…”