Shama Chaudhry, Iqra Jangda, Rubina Hussain.
Molar ectopic pregnancy; an unusal presentation. a case report.
Professional Med J Dec ;20(4):638-41.

Ectopic molar pregnancy is a rare occurrence. Clinical diagnosis of a molar pregnancy is difficult but histopathology is the gold standard for diagnosis. The management of ectopic molar pregnancies consists of surgically removing the conceptus, follow up & chemotherapy, if required. We are reporting a case report of a 35-year-old married, nulliparous woman, admitted in emergency with a 6- week history of amenorrhea, severe abdominal pain & an episode of fainting at home. Per abdominal examination revealed tenderness over the right iliac fossa, with guarding & rigidity. Diagnosis of ruptured ectopic pregnancy was made.Emergency laparotomy was done. Histopathological examination, showed tubal ectopic pregnancy with partial hydatidiform mole & a separate corpus luteal cyst.She was followed up with serial beta hCG which became normal within 1 month. Although ectopic molar pregnancy is a rare entity but all ectopic pregnancies should be examined histologically to rule out presence of gestational trophoblastic disease to plan follow-up accordingly in order to avoid persistent gestational trophoblastic disease which has a chance of malignant conversion.The prognosis of ectopic molar pregnancies is the same as for other forof gestational trophoblastic disease.

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