Molar Changes in Ectopic Gestation: An Unexpected Diagnostic Surprise

Abstract

Ectopic molar gestation occurs very rarely and so far, only132 cases have been reported in the previous literatures. Hereby we present a case report of right sided tubal ectopic with molar changes. In this case report we have emphasised on the need for thorough histopathological examination for reaching the diagnosis and the need of follow up of such patients by the clinicians. A 34-year-old gravida 5, para 1, pregnant woman with a 5 weeks + 2 days history of amenorrhea presented to the Emergency with the chief complaints of pain abdomen with nausea and vomiting. Per vaginal examination revealed cervical motion tenderness. However, there was no bleeding per vaginum. Emergency laparotomy, was done which showed a ruptured right tubal ectopic pregnancy and histopathological examination was suggestive of a molar pregnancy. Molar gestation is considered a rare entity but it can occur at any site of an ectopic gestation. Although it’s difficult to establish the diagnosis clinically but histopathology has an important role to play to make a conclusive diagnosis.