Postoperative discovery of molar pregnancy

This concerns a 52-year-old patient presenting with abdominal-pelvic pain and diffuse bloating. Upon gynecological examination, an enlarged uterus is noted. Endovaginal ultrasound reveals a 7 cm intracavitary fibroid with suspected degeneration. The patient underwent a hysterectomy. Intraoperatively, the surgeon observes a soft consistency of the uterus and decides to proceed with bilateral annexectomy. Upon dissection of the operative specimen, the typical appearance of a molar pregnancy is noted. This finding is confirmed by anatomopathological examination. The patient had a good postoperative recovery.