title: Ruptured tubal molar pregnancy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria.
authors.forename: I A
authors.initials: IA
authors.lastname: Yakasai
authors.forename: N
authors.initials: N
authors.lastname: Adamu
authors.forename: H S
authors.initials: HS
authors.lastname: Galadanchi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000628:therapy; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000628:therapy; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000628:therapy