• Medicine · Jun 2023

    Case Reports

    Tubal ectopic twin pregnancy of complete hydatidiform mole and coexisting embryo: A rare case report.

    • Yun Shen, Jianing Wang, Yawei Shao, Chanchan Gong, and Ruiheng Zhao.
    • Department of Gynecology, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou, Jiangsu Province, China.
    • Medicine (Baltimore). 2023 Jun 2; 102 (22): e33922e33922.

    RationaleEctopic twin gestation involving a complete hydatidiform mole (CHM) and coexisting embryo is an exceedingly rare occurrence.Patient ConcernsIn this report, we present the case of a 22-year-old female (gravida2, para 1) who was in her 8th week of gestation and presented with abdominal pain. Due to the detection of active bleeding and a ruptured right fallopian tube, the patient underwent a salpingectomy on the right side.DiagnosisThe patient was diagnosed with an ectopic twin gestation involving a CHM and coexisting embryo.InterventionsThe patient was treated with right-side salpingectomy.OutcomesThe operation was successful and her recuperation was satisfactory.LessonsIn the management of ectopic pregnancy involving CHM, it is crucial to enhance the accuracy of preoperative diagnosis. Additionally, histopathological examination of the salpingectomy specimen and conceptus is definitely essential for accurate diagnosis and appropriate follow-up management of tubal pregnancies.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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