scholarly journals Ectopic tubal pregnancy with partial mole: a rare case

2018 ◽  
Vol 7 (4) ◽  
pp. 1651
Author(s):  
Nanda Patil ◽  
Robina Mohamed Nazeer ◽  
Jyoti Tele
Keyword(s):  
Fallopian Tube ◽  
Gold Standard ◽  
Rare Case ◽  
Clinicopathological Features ◽  
Histopathological Study ◽  
Molar Pregnancy ◽  
Abnormal Fertilization ◽  
Partial Mole ◽  
Placental Villi ◽  
Hydatidiform Moles

Hydatidiform moles are abnormal gestations characterised by the presence of hydropic changes in the placental villi associated with circumferential trophoblastic proliferation. They arise due to abnormal fertilization. Molar gestation commonly develops within the uterus but presence of molar changes in ectopic pregnancy is extremely rare. Author present a rare case of ectopic molar pregnancy in fallopian tube in a 20 years old female patient to highlight its clinicopathological features. Ectopic molar pregnancy in a fallopian tube is very rare and histopathological study is the gold standard for the exact diagnosis and further management. 

scholarly journals When a vesicular placenta meets a live fetus: case report of twin pregnancy with a partial hydatidiform mole

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Minhuan Lin ◽  
Jinzhu Chen ◽  
Bing Liao ◽  
Zhiming He ◽  
Shaobin Lin ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Hydatidiform Mole ◽  
First Trimester ◽  
Molar Pregnancy ◽  
Amniotic Cavity ◽  
Individualized Care ◽  
Partial Mole ◽  
Live Fetus ◽  
Hydatidiform Moles

Abstract Background Hydatidiform moles exhibit a distinctive gross appearance of multiple vesicles in the placenta. The advances in cytogenetic technologies have helped uncover novel entities of hydatidiform moles and enabled elaborate diagnoses. However, management of a vesicular placenta with a coexistent live fetus poses a bigger challenge beyond hydatidiform moles. Case presentation A 33-year-old woman was referred to our department for suspected hydatidiform mole coexistent with a live fetus at 24 weeks’ gestation. The patient had conceived through double embryo transplantation, and first-trimester ultrasonography displayed a single sac. Mid-trimester imaging findings of normal placenta parenchyma admixed with multiple vesicles and a single amniotic cavity with a fetus led to suspicion of a singleton partial molar pregnancy. After confirmation of a normal diploid by amniocentesis and close surveillance, the patient delivered a healthy neonate. Preliminary microscopic examination of the placenta failed to clarify the diagnosis until fluorescence in situ hybridization showed a majority of XXY sex chromosomes. The patient developed suspected choriocarcinoma and achieved remission for 5 months after chemotherapy, but relapsed with suspected intermediate trophoblastic tumor. Conclusion We report a rare case of twin pregnancy comprising a partial mole and a normal fetus that resembled a singleton partial molar pregnancy. Individualized care is important in conditions where a vesicular placenta coexists with a fetus. We strongly recommend ancillary examinations in addition to traditional morphologic assessment in such cases.

scholarly journals Gestational Trophoblastic Neoplasia after Ectopic Molar Pregnancy: Clinical, Diagnostic, and Therapeutic Aspects

2018 ◽  
Vol 40 (05) ◽  
pp. 294-299 ◽  
Author(s):  
Consuelo López ◽  
Vania Lopes ◽  
Fabiana Resende ◽  
Jessica Steim ◽  
Lilian Padrón ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Fallopian Tube ◽  
Present Report ◽  
Hydatidiform Mole ◽  
Rare Condition ◽  
Molar Pregnancy ◽  
Gestational Trophoblastic Neoplasia ◽  
The Past ◽  
Cure Rates ◽  
Hydatidiform Moles

AbstractThis report presents the case of a patient with gestational trophoblastic neoplasia after a partial hydatidiform mole formed in the Fallopian tube. Ectopic molar pregnancy is a rare condition, with an estimated incidence of 1 in every 20,000 to 100,000 pregnancies; less than 300 cases of it have been reported in the Western literature. The present report is important because it presents current diagnostic criteria for this rare condition, which has been incorrectly diagnosed in the past, not only morphologically but also immunohistochemically. It also draws the attention of obstetricians to the occurrence of ectopic molar pregnancy, which tends to progress to Fallopian tube rupture more often than in cases of ectopic non-molar pregnancy. Progression to gestational trophoblastic neoplasia ensures that patients with ectopic molar pregnancy must undergo postmolar monitoring, which must be just as thorough as that of patients with intrauterine hydatidiform moles, even if chemotherapy results in high cure rates.

scholarly journals 1. Two Cases of abdominal Section for intraperitoneal Haemorrhage due to ruptured ectopic gestation 2. Three fatal Cases of ectopic Gestation 3. Ectopic Molar pregnancy 4. A Case of plural ectopic gestation

2020 ◽  
Vol 11 (6) ◽  
pp. 710-711
Author(s):  
M. Ginzburg
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Peritoneal Cavity ◽  
Broad Ligament ◽  
Molar Pregnancy ◽  
Abdominal Section ◽  
Ectopic Gestation ◽  
Speed Up ◽  
Intraperitoneal Haemorrhage

To the Vorrat l. a woman was brought in a state of collapse with a diagnosis of an ectopic pregnancy; pulse 144, barely perceptible. The rupture occurred in 18 hours, there were fainting, vomiting. The abdomen is not distended, soft, the tumor cannot be felt from the outside, and per vaginam examination is not done to speed up the operation. When the abdomen was opened, the tissues were found bloodless: none of the vessels showed blood; a few pounds of liquid blood spilled out of the peritoneal cavity; clamps were placed on the stretched right fallopian tube and broad ligament, and the fallopian tube was excised along with the ovary; the rupture was near the uterus. The operated woman recovered, although W. did not count on it.

scholarly journals A Rare Case of Intrauterine Adhesion Caused by Intrauterine Fallopian Tube Incarceration

2021 ◽  
pp. 64-67
Author(s):  
Yiran Liu ◽  
Yugang Chi
Keyword(s):  
Fallopian Tube ◽  
Rare Case ◽  
Early Recognition ◽  
Uterine Cavity ◽  
Uterine Perforation ◽  
Secondary Infertility ◽  
False Passage ◽  
Intrauterine Adhesion ◽  
Tubal Lumen ◽  
The Right

Hysteroscopy is widely used for the detection and treatment of intrauterine adhesion. Such technique, however, sometimes has limitations and even second damages. We report a rare case of severe intrauterine adhesion caused by uterine perforation with a fallopian tube incarceration. A 24-year-old woman underwent severe intrauterine adhesion and secondary infertility caused by fallopian tube incaceration into the uterine cavity after postpartum curettage. First hysteroscopy created a false passage through the previous uterine perforation, entered into the cavity of incarcerated fallopian tube, and led to iatrogenic hydrosalpinx. Secondary hysteroscopy combined with laparoscopy revealed a connection between the right tubal lumen and the uterine cavity by the false passage, released the adhesion, and reconstructed the uterine cavity. Early recognition of uterine perforation or tissue incarcerarion is significant in preventing further damage.

scholarly journals Post Hysterectomy Fallopian Tube Prolapse: A Rare Case

2020 ◽  
Vol 8 (11) ◽  
pp. 955-957
Author(s):  
Dr. Jadhav Vaishali ◽  
Dr Mishra Nigamanand ◽  
Dr. Savani Gayatri ◽  
Dr. G Geetadevi ◽  
Dr. Gaddam Prachi
Keyword(s):  
Fallopian Tube ◽  
Rare Case

scholarly journals Successful Primary Treatment of a Hydatidiform Mole with Methotrexate and EMA/CO

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
M. De Vos ◽  
M. Leunen ◽  
C. Fontaine ◽  
Ph. De Sutter
Keyword(s):  
Surgical Treatment ◽  
Complete Remission ◽  
Treatment Option ◽  
Hydatidiform Mole ◽  
Uterine Fibroids ◽  
Treatment Method ◽  
Primary Treatment ◽  
Molar Pregnancy ◽  
Complete Hydatidiform Mole ◽  
Hydatidiform Moles

Background. The preferred treatment method of most hydatidiform moles is suction aspiration. In rare circumstances uterine abnormalities may preclude surgical treatment.Case. We report a case of complete molar pregnancy successfully treated with methotrexate followed by EMA/CO. A 38-year-old woman with a complete hydatidiform mole and multiple uterine fibroids underwent a failed attempt at suction aspiration. Following treatment with methotrexate, a nonmetastatic persistent trophoblastic tumour developed. Six cycles of EMA/CO led to complete remission.Conclusion. We propose that primary treatment of molar pregnancies with chemotherapy is a useful treatment option in cases where uterine abnormalities interfere with suction aspiration.

A Rare Case of Nasopharyngeal Glial Heterotopia in a Neonate

2021 ◽  
pp. 097321792110425
Author(s):  
Viveka Singh ◽  
Neha Nabar ◽  
Sanjiv Badhwar ◽  
Preetha Joshi
Keyword(s):  
Gold Standard ◽  
Rare Case ◽  
Neural Tissue ◽  
Surgical Excision ◽  
Intracranial Extension ◽  
Resonance Imaging ◽  
Radiological Studies ◽  
Rule Out ◽  
Glial Heterotopia

Nasopharyngeal glial heterotopias is an extremely rare, nonhereditary, developmental malformation manifesting as a mass composed of mature neural tissue with no intracranial continuity. Glial heterotopia is a rare, non-neoplastic, extracranial midline malformation. Nasal glioma is the most frequently encountered entity among congenital nasal masses. Cases which are associated with intracranial extension are termed as encephalocele. It must be considered in the differential diagnosis of airway obstruction in neonates. Magnetic resonance imaging is mandatory to rule out intracranial extension. We report a rare case of heterotopic brain tissue in nasopharynx with no intracranial extension to attract attention to the diagnostic workup of nasopharyngeal obstruction in a neonate with respiratory distress. Clinical examination and radiological studies are diagnostic while early surgical excision and histopathological confirmation is the gold standard. This baby underwent complete intranasal endoscopic excision of mass on day 20 of life. The postoperative course was uneventful and the baby is growing well on follow-up. This case would be one of the few cases reported from India.

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