MOLAR ECTOPIC PREGNANCY;

AN UNUSAL PRESENTATION. A CASE REPORT

Abstract

Ectopic molar pregnancy is a rare occurrence. Clinical diagnosis of a molar pregnancy is difficult but histopathology is the
gold standard for diagnosis. The management of ectopic molar pregnancies consists of surgically removing the conceptus, follow up &
chemotherapy, if required. We are reporting a case report of a 35-year-old married, nulliparous woman, admitted in emergency with a 6-
week history of amenorrhea, severe abdominal pain & an episode of fainting at home. Per abdominal examination revealed tenderness
over the right iliac fossa, with guarding & rigidity. Diagnosis of ruptured ectopic pregnancy was made.Emergency laparotomy was done.
Histopathological examination, showed tubal ectopic pregnancy with partial hydatidiform mole & a separate corpus luteal cyst.She was
followed up with serial beta hCG which became normal within 1 month. Although ectopic molar pregnancy is a rare entity but all ectopic
pregnancies should be examined histologically to rule out presence of gestational trophoblastic disease to plan follow-up accordingly in
order to avoid persistent gestational trophoblastic disease which has a chance of malignant conversion.The prognosis of ectopic molar
pregnancies is the same as for other forms of gestational trophoblastic disease.