title: Hydatidiform mole presentation as a tubal ectopic pregnancy.
abstract: Presentation of hydatidiform mole as tubal ectopic pregnancy is very rare. These patients usually present with ectopic pregnancy and are later diagnosed with hydatidiform mole on the basis of histological examination following surgery. We present the case of a 32-year-old female who presented with abdominal pain and vaginal bleed since 2 days of presentation. She was vitally stable. There was mild tenderness in hypogastrium and left iliac fossa. Pelvic examination showed mild bleeding per vaginum and fullness in both fornices. The patient was suspected of having an ectopic pregnancy. Ultrasonography of pelvis revealed fluid in cul-de-sac and a sac like mass of 1.8 cm attached to the left ovary. On laparotomy, there was a left sided tubal ectopic pregnancy and subsequently left salpingectomy was done. Histopathology of the tissue sample showed features of partial hydatidiform mole. Ectopic pregnancy can present as hydatidiform mole in rare cases for which histological examination of the tissue is required to establish the diagnosis.
authors.affiliation: Department of Obstetrics and Gynaecology, Bismillah Taqee Hospital, Karachi.
authors.forename: Tabassum
authors.initials: T
authors.lastname: Nakeer
authors.affiliation: Department of Emergency Medicine, The Indus Hospital, Karachi.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Shahid
authors.affiliation: Department of Anaesthesiology, Bismillah Taqee Hospital, Karachi.
authors.forename: Muhammad Asad
authors.initials: MA
authors.lastname: Ansari
authors.affiliation: Medical Student, Jinnah Sindh Medical University, Karachi.
authors.forename: Rooham
authors.initials: R
authors.lastname: Nakeer
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D007813:Laparotomy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D058994:Salpingectomy; D016896:Treatment Outcome; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery