Ampullary tubal hydatidiform mole treated with linear salpingotomy. A case report.
BACKGROUND
While tubal pregnancies are common, only approximately 30 tubal hydatidiform moles have been reported. Most have been treated with salpingectomy. This case entails a tubal hydatidiform mole treated with salpingotomy without complications, persistence or recurrence.


METHODS
A 25-year-old woman with an ampullary tubal pregnancy at 8 weeks' gestation underwent a laparoscopic salpingotomy. Preoperative human chorionic gonadotropin (hCG) was 6,909 mIU/mL. Pathology confirmed a partial hydatidiform mole. Three weeks postoperatively the hCG was 6 mIU/mL.


CONCLUSIONS
Tubal hydatidiform molar pregnancies are rare. Those which occur in the ampullary portion of the fallopian tube can be treated with linear salpingotomy.
Newcomer
J R
JR
Medical College of Wisconsin, Milwaukee 53226, USA. newcomer@mcw.edu
D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D005185:Fallopian Tube Neoplasms / Q000473:pathology / Q000601:surgery*; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D011247:Pregnancy
D006063:Chorionic Gonadotropin