Persistent molar pregnancy in an ectopic tubal pregnancy treated with laparoscopic surgery: A case report

Introduction: Molar pregnancy presenting as an ectopic pregnancy is very rare with only occasional cases being previously reported. Case Report: A 50­year­old Asian female underwent a successful laparoscopic salpingectomy of an unruptured tubal ectopic pregnancy. The histopathology confirmed a complete molar pregnancy within the tubal specimen. Post­ operatively, after an initial fall, there was a gradual increase in her ß subunit of human chorionic gonadotropin (ß­hCG) levels. The patient requested surgical intervention and she underwent total laparoscopic hysterectomy, left salpingooophorectomy, right oophorectomy and removal of residual right fallopian tube. The histopathology revealed no residual trophoblastic tissue in the excised specimen. Her ß­hCG returned to normal postoperatively. Conclusion: This case report is the first example of persistent molar pregnancy of the fallopian tube being treated with completion surgery and highlights that this is an effective treatment of this rare condition.