The incidence of molar pregnancy and ectopic pregnancy are 1 and 10 per 1000 pregnancies, respectively. An ectopic molar pregnancy is a very rare occurrence. The differentiation of molar ectopic and non-molar ectopic pregnancy is very difficult. A 53 years old gravida 5, parity 2, dilatation and curettage 1, abortus 1 woman was referred from emergency service due to excessive vaginal bleeding and pelvic pain. Pelvic examination revealed significant vaginal hemorrhage from a lesion on anterior cervical lip. Quantitative β-hCG test was 41.842mU/ml. Ultrasonographic findings revealed no bilateral adnexal or uterine pathology but cervical ectopic pregnancy. As the patient’s hemoglobin level was 4.7 gr/dL, total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed immediately. Final pathologic examination revealed cervical hydatiform molar pregnancy. No peri or postoperative complication was detected and the patient was uneventful.
Abstract
Spontaneous rupture of cervical hydatidiform molar pregnancy in 53 years old woman: A case report and brief review of the literature
Journal of Cases in Obstetrics & Gynecology
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