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Published on: February 28, 2014
Ectopic (tubal) molar gestation: report of two cases
M A Abdul1, A J Randawa, S M Shehu
1Department of Obstetrics & Gynaecology, Ahmadu Bello University Teaching Hospital Zaria, Nigeria. maabdul90@yahoo.com
Background:
Ectopic molar gestation is a rare event. Its malignant potential is similar to that of an intrauterine molar pregnancy.
Objective:
To document two cases of tubal molar gestations seen over a 10-year period.
Study Design:
Case series.
Results:
Two young Nigerian undergraduates presented with features of ruptured tubal pregnancy. They had total salpingectomy and histopathological analysis of the tubal specimens revealed complete hydatidiform mole. HCG level normalized in both cases within three weeks of treatment.
Conclusion:
Ectopic molar gestation does occur occasional in our setting. It is pertinent that clinicians in this part of the world be aware of this and to take routine histological examination of tubal specimens in ectopic pregnancy very seriously in order to diagnosed cases of ectopic molar gestations early and mount appropriate post treatment surveillance.
