title: Ruptured tubal hydatidiform mole.
abstract: OBJECTIVE
  Ruptured ectopic gestation is a life threatening medical emergency especially in developing countries. However, the occurrence of hydatidiform mole in ruptured tubal pregnancy is uncommon.
  
  
  METHODS
  A consecutive analysis of patients with hydatidiform mole in ruptured tubal gestation over a 9-year period in a tertiary hospital.
  
  
  RESULTS
  Of a total of 101 females with ectopic gestations, only five had ruptured tubal hydatidiform mole. The ages ranged from 20-37years and they all presented with acute abdominal symptoms which necessitated emergency surgical intervention. Intra-operative findings revealed ruptured/ leaking tubal gestation. The excised tissue specimens showed hydatidiform mole characterized by circumferential trophoblastic proliferation, hydropic degeneration and stromal karyorrhexis. Patients' serial HCG levels were monitored before discharge.
  
  
  CONCLUSIONS
  Ruptured tubal hydatidiform mole is uncommon and strict histologic criteria are important in diagnosis. Serial HCG levels must be monitored in individual patients to forestall development of malignant trophoblastic disease.
authors.affiliation: Department of Morbid Anatomy/histopatology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
authors.forename: Modupeola Omotara
authors.initials: MO
authors.lastname: Samaila
authors.affiliation: Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
authors.forename: Adebiyi Gbadebo
authors.initials: AG
authors.lastname: Adesiyun
authors.affiliation: Department of Morbid Anatomy/histopatology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
authors.forename: Calvin
authors.initials: C
authors.lastname: Bifam
keywords: Choriocarcinoma; Hydatidiform mole; Tubal pregnancy