Tubal hydatidiform mole treated with salpingotomy: A case report

Zhao, Ting; Xiu-hong, Hou; Su, C. C.; Wu, Qinjiao

doi:10.1002/ccr3.2037

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…We have performed a narrative review of the case reports described in the literature in the last ten years on tubal mole pregnancy. We obtained data from thirteen studies describing fourteen cases [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ].…”

Section: Resultsmentioning

confidence: 99%

“…A live fetus in two women (14%) was found [ 9 , 16 ]. In the other cases, a heterogeneous complex adnexal mass with medium/low echogenicity was described [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

“…Explorative laparoscopy and salpingectomy on five women (36%), laparotomy salpingectomy on seven (50%), and laparoscopy salpingostomy on two women (14%) were performed. In one of these, 100 mg methotrexate was injected into the right mesosalpinx, as a routine at the time of salpingotomy for ectopic gestation in that institution [ 18 ]. At histological examination, an ectopic complete molar pregnancy was confirmed in seven women (50%), a partial molar pregnancy on six (43%), and an invasive tubal mole with tubal rupture in one woman (7%).…”

Section: Resultsmentioning

confidence: 99%

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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

D'Asta

Ferrera

Gulino

et al. 2022

JCM

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Synopsis: Nowadays there are no clinical, laboratory, or ultrasound criteria to differentiate ectopic tubal pregnancy from tubal molar pregnancy, so a preoperative diagnosis is not possible. Objective: Tubal ectopic hydatidiform moles are a rare type of gestational trophoblastic disease. The aim of our work is to understand if it is possible to diagnose, preoperatively, a tubal ectopic molar pregnancy, starting from the evaluation of a complicated case report up to performing a review of the literature. Materials and Methods: A 27-year-old woman was referred to our department for right pelvic pain, vaginal bleeding, and positive beta-hCG (590 mUI/mL). At the ultrasound, the uterine cavity was empty and a unilocular cyst of 15 mm below the right ovary, suspicious of ectopic pregnancy, was described. Serial measurements of daily beta-hCG (2031 → 2573 → 3480 mUI/mL) and, after five days, a laparoscopic salpingectomy, were performed. The pathologist confirmed a diagnosis of “incomplete invasive vesicular mole with extrauterine implant”. A review of the literature was performed, following the PRISMA statement, and searching all the articles related to this topic in the last ten years from PUBMED. We obtained data from thirteen studies, describing fourteen cases. Discussion: Considering the data from the literature, the main clinical symptoms were pelvic pain (100%), vaginal bleeding (64%), vomiting (7%), and fever (7%). By ultrasound examination, left adnexal mass on ten women (72%), and right adnexal mass on four (28%), were described. An assessment of ectopic pregnancy was made in all cases, but no preoperative diagnosis of tubal molar pregnancy was made. Beta-hCG levels were the same as patients with ectopic tubal pregnancy. Conclusion: Nowadays there are no clinical, laboratory, or ultrasound criteria to differentiate ectopic tubal pregnancy from tubal molar pregnancy.

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Section: Resultsmentioning

confidence: 99%

“…A live fetus in two women (14%) was found [ 9 , 16 ]. In the other cases, a heterogeneous complex adnexal mass with medium/low echogenicity was described [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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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

D'Asta

Ferrera

Gulino

et al. 2022

JCM

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“…During the histopathological examination, pathologists should keep in their minds that, compared with evacuated intra-uterine products of conception, the degree of extravillous trophoblastic proliferation might appear more florid in the ectopic gestation [ 7 , 13 ]. Laparoscopy is the main way for the treatment of ectopic pregnancy cases.…”

Section: Discussionmentioning

confidence: 99%

Partial Hydatidiform Mole in an Ectopic Tubal Pregnancy

Hasan¹,

Elhawary²,

Abdelaleem

et al. 2021

Cureus

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Fallopian tubal molar pregnancy is extremely rare, and the main diagnostic tool is the post-operative histopathological diagnosis, as the pre-operative diagnosis is difficult. We report a case of ectopic partial molar pregnancy in the right fallopian tube of a 35-year-old lady that was sent for routine histopathological examination with the clinical diagnosis of ectopic pregnancy and the histopathology report revealed an unusual result.

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“…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.…”

Section: Introductionmentioning

confidence: 99%

Ectopic Tubal Molar Pregnancy: A Case Report

Daff¹,

Niang²,

Mbodji³

et al. 2021

OJOG

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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.

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Tubal hydatidiform mole treated with salpingotomy: A case report

Abstract: Key Clinical Message Tubal hydatidiform mole is rare and mostly treated with salpingectomy. This manuscript presented a case treated with salpingotomy plus methotrexate that possessed a satisfactory outcome. Our report adds to the experience of using salpingotomy in tubal molar patients.

Cited by 4 publications

References 11 publications

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

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

Partial Hydatidiform Mole in an Ectopic Tubal Pregnancy

Ectopic Tubal Molar Pregnancy: A Case Report

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