Ruptured tubal molar pregnancy.

نویسندگان

  • I A Yakasai
  • N Adamu
  • H S Galadanchi
چکیده

Molar pregnancies in most instances develop within the uterine cavity, but may occur at any site. Ectopic molar pregnancy is a rare event. The objective of this study was to present a case of ruptured tubal molar gestation, discuss its clinical features and ways to improve diagnostic accuracy. A 35-year-old woman presented with features suggestive of ruptured tubal ectopic pregnancy. There was neither any evidence at the time of presentation to suspect a molar gestation, nor β human chorionic gonadotrophin (βhCG) hormone estimation was done, but only a clearview pregnancy test was carried out. She had total left salpingectomy and histological evaluation of the specimen revealed complete hydatidiform mole. The hCG level normalized within 3 weeks of follow-up. Clinical features of ectopic molar pregnancy may be indistinguishable from non-molar ectopic pregnancy. We recommend βhCG estimation as well as histological examination of the surgical specimen for all patients coming with features suggestive of ectopic pregnancy.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Ectopic (tubal) molar gestation: report of two cases.

BACKGROUND Ectopic molar gestation is a rare event. Its malignant potential is similar to that of an intrauterine molar pregnancy. OBJECTIVE To document two cases of tubal molar gestations seen over a 10-year period. STUDY DESIGN Case series. RESULTS Two young Nigerian undergraduates presented with features of ruptured tubal pregnancy. They had total salpingectomy and histopathological an...

متن کامل

Comparison of Serum CA-125 Level in Ruptured and Unruptured Tubal Pregnancies in Yazd/Iran during 2001-2006

Background & Aims: This study aimed to determine if serial measurement of serum CA-125 level could be used as a useful test in the differential diagnosis of intact and ruptured tubal pregnancies. Methods: In a single-blind prospective controlled clinical study, 59 women with tubal pregnancy of 6– 12 weeks (26 women with ruptured tubal pregnancy, 33 women with intact tubal pregnancy and 59women ...

متن کامل

Ectopic Molar Pregnancy: A Rare Entity

INTRODUCTION Ectopic molar pregnancy is a rare occurrence and consequently not often considered as a diagnostic possibility. In this article, an attempt was made to stress on the need for histopathological examination and follow up of every case of ectopic pregnancy. This was substantiated with the help of a case report. CASE PRESENTATION A 30-year-old gravida 4, para 3, pregnant woman with a...

متن کامل

Predictive value of maternal serum β-hCG concentration in the ruptured tubal ectopic pregnancy

BACKGROUND Measurement of serum β-hCG concentration commonly used to diagnose tubal ectopic pregnancy (EP) and follow up patients treated conservatively. OBJECTIVE The aim of this study was to determine the predictive value of maternal serum β-hCG concentration in ruptured tubal ectopic pregnancy to help physicians identify those women who are at greatest risk. MATERIALS AND METHODS This is...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Nigerian journal of clinical practice

دوره 15 4  شماره 

صفحات  -

تاریخ انتشار 2012