Abstract

Background: The incidence of ectopic Hydatidiform mole is presumed to be 1.5 in a million, Making suspicion of the diagnosis less likely. It is important to differentiate between a conventional ectopic and a molar ectopic gestation as they both have the same clinical presentation; however histopathologic features are different. Reaching the proper diagnosis helps in appropriate follow up and counseling.

Case Report: A 32 years old, Gravida 5 para 4, presented to the emergency department with 5 weeks plus 6 days amenorrhea and lower abdominal pain. In view of a high Quantitative beta human chorionic gonadotropin (30870 mIU/L), an empty uterus and a complex mass in the left tube 9x8 mm, the patient had laparotomy with left salpingectomy, histopathology of the specimen reported complete mole.

Conclusion: Although rare, molar pregnancy can be extra uterine. Histopathologic confirmation of the final diagnosis, with or without the aid of other tests, is hence advised.

Keywords: Hydatidiform mole; Ectopic pregnancy; Histopathology