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Case report - Abstract

  Cite this article:

Najoua Bousfiha, Sanaa Erarhay, Adnane Louba, Hanan Saadi, Chahrazad Bouchikhi, Abdelaziz Banani, Hind El Fatemi, Med Sekkal, Afaf Laamarti. Ectopic molar pregnancy: a case report.
The Pan African Medical Journal. 2012;11:63

Key words: Ectopic molar pregnancy, molar pregnancy, Ectopic pregnancy, Morocco

Permanent link: http://www.panafrican-med-journal.com/content/article/11/63/full

Received: 14/12/2011 - Accepted: 08/02/2012 - Published: 04/04/2012

© Najoua Bousfiha et al.   The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Ectopic molar pregnancy: a case report

 

Najoua Bousfiha1,&, Sanaa Erarhay1, Adnane Louba1, Hanan Saadi1, Chahrazad Bouchikhi1, Abdelaziz Banani1, Hind El Fatemi2, Med Sekkal2, Afaf Laamarti2

 

1Department of gynecology obstetric I, Teaching Hospital, Hassan II, Fez, Morocco, 2Department of anatomopathology, Teaching hospital Hassan II, Fez, Morocco

 

 

&Corresponding author
Najoua Bousfiha, Department of gynecology obstetric I, Teaching Hospital, Hassan II, Fez, Morocco

 

 

Abstract

The incidence of hydatidiform moles is 1 per 1,000 pregnancies. Ectopic pregnancy occurs in 20 per 1,000 pregnancies. Thus, the incidence of the ectopic molar gestation is very rare. We report a case of tubal molar pregnancy diagnosed at the systematic histology exam of an ectopic pregnancy. We report the case of 32 years old nulliparus women who presented a vaginal bleeding, lower abdominal pain and 6 weeks amenorrhea corresponding to the last menstrual period. At the clinical examination, the arterial pressure was 100/60 mmHG. The gynecological examination was difficult because of lower abdominal pain. Serum gonadotropin activity was 3454 ui/l. Pelvic ultrasound revealed an irregular echogenic mass in the left adnexa. Diagnostic laparoscopy revealed a left-sided unruptured ampullary ectopic pregnancy. A left laparoscopic salpingectomy was performed. The systematic histologic test identified an ectopic partial molar pregnancy, which was confirmed by DNA ploidy image analysis. The patient was followed with weekly quantitative Β-hCG titers until three successive Β-hCG levels were negative. It is pertinent that clinicians take routine histological examination of tubal specimens in ectopic pregnancy very seriously in order to diagnose cases of ectopic molar gestations early and mount appropriate post treatment surveillance.