Related Experiment Video
Updated: Apr 19, 2026
07:22
Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
994
Laparoscopically diagnosed invasive mole presenting as acute hemoperitoneum.
Samina Saleem Dojki1, Alia Bano1
1Department of Paediatrics, Quaid-e-Azam International Hospital, Islamabad.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 19, 2014
Summary
A young woman experienced severe abdominal pain and was diagnosed with an invasive mole, a rare form of gestational trophoblastic disease, following a miscarriage. Treatment involved hysterectomy, with a full recovery and normal beta subunit of human Chorionic Gonadotropin levels reported.
Area of Science:
- Gynecology
- Obstetrics
- Reproductive Endocrinology
Background:
- Ectopic pregnancy is a significant concern in early pregnancy, often presenting with acute abdominal pain.
- Gestational trophoblastic disease (GTD) encompasses a spectrum of placental-related tumors, including invasive mole.
- A history of miscarriage, particularly following procedures like dilatation and evacuation, can be associated with persistent or abnormal pregnancy-related conditions.
Purpose of the Study:
- To report a case of invasive mole initially misdiagnosed as ectopic pregnancy.
- To highlight the diagnostic challenges and management of invasive mole in a young multipara.
- To emphasize the importance of histopathological confirmation in cases of suspected ectopic pregnancy with unusual presentations.
Main Methods:
- Clinical presentation and laboratory investigations, including beta subunit of human Chorionic Gonadotropin (ßhCG) levels, were used for initial diagnosis.
- Diagnostic laparoscopy was performed to evaluate suspected ectopic pregnancy.
- Surgical management involved conversion to laparotomy and hysterectomy for definitive treatment.
- Histopathological examination of the resected tissue confirmed the diagnosis.
Main Results:
- Laparoscopy revealed an invasive mole, necessitating conversion to laparotomy and hysterectomy.
- Histopathology confirmed the diagnosis of invasive mole.
- The patient experienced a good recovery post-surgery.
- Follow-up ßhCG levels normalized within 12 weeks, indicating successful treatment.
Conclusions:
- Invasive mole can mimic ectopic pregnancy, underscoring the need for thorough diagnostic evaluation.
- Prompt surgical intervention and histopathological analysis are crucial for managing invasive mole.
- Successful treatment of invasive mole leads to normalization of ßhCG levels and patient recovery.
