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Case Report
 
Persistent molar pregnancy in an ectopic tubal pregnancy treated with laparoscopic surgery: A case report
Anthony Richards1, Kirsten Black2, Selvan Pather3
11Department of Gynaecologic Oncology, Royal Prince Alfred Hospital, Sydney Cancer Centre and Department of Obstetrics and Gynaecology, University of Sydney, Camperdown, New South Wales, Australia.
2Women's and Babies Division, Royal Prince Alfred Hospital, Missenden Road, Camperdown, New South Wales, Australia.
3Senior Specialist in Gynaecologic Oncology, Sydney Gynaecologic Oncology Group, Sydney Cancer and Royal Prince Alfred Hospital, Missenden Road, Camperdown, New South Wales, Australia.

doi:10.5348/ijcri-2013-04-298-CR-7

Address correspondence to:
Professor Selvan Pather
Senior Specialist in Gynaecologic Oncology, Sydney Gynaecologic Oncology Group
Sydney Cancer and Royal Prince Alfred Hospital, Missenden Road
Camperdown,New South Wales
Australia 2050
Phone: +61 2 95156111
Fax: +61 2 9515 8434
Email: spather@med.usyd.edu.au

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How to cite this article:
Richards A, Black K, Pather S. Persistent molar pregnancy in an ectopic tubal pregnancy treated with laparoscopic surgery: A case report. International Journal of Case Reports and Images 2013;4(4):220–223.


Abstract
Introduction: Molar pregnancy presenting as an ectopic pregnancy is very rare with only occasional cases being previously reported.
Case Report: A 50­-year­-old Asian female underwent a successful laparoscopic salpingectomy of an unruptured tubal ectopic pregnancy. The histopathology confirmed a complete molar pregnancy within the tubal specimen. Post-­ operatively, after an initial fall, there was a gradual increase in her β subunit of human chorionic gonadotropin (β-hCG) levels. The patient requested surgical intervention and she underwent total laparoscopic hysterectomy, left salpingo­oophorectomy, right oophorectomy and removal of residual right fallopian tube. The histopathology revealed no residual trophoblastic tissue in the excised specimen. Her β-hCG returned to normal post­operatively.
Conclusion: This case report is the first example of persistent molar pregnancy of the fallopian tube being treated with completion surgery and highlights that this is an effective treatment of this rare condition.

Keywords: Ectopic pregnancy, Hydatidiform mole, Hysterectomy, Trophoblastic neoplasms


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Author Contributions
Anthony Richards – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kirsten Black – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Selvan Pather – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Anthony Richards et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)