• Wang Ruoxi, Zhang Yiwei, Liang Jun, Li Yi, and Wang Jian.
• Department of Obstetrics and Gynecology, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
• J Coll Physicians Surg Pak. 2023 Jan 1; 33 (1): 686-8.

AbstractWe report a rare case of intrauterine molar pregnancy along with ectopic tubal pregnancy. A 33-year woman who had never been pregnant had an ultrasound (US) after 70 days of amenorrhea suggesting partial hydatidiform mole, with a history of ovulation promotion and pathologically confirmed complete hydatidiform mole after uterine suction dilation and curettage. On 4th postoperative day, a US examination before discharge showed an inhomogeneous mass in the left adnexal region with mild lower abdominal pain. On 17th postoperative day, the blood HCG level did not drop as expected and the recheck result still indicated a mass in the left adnexal region, which did not exclude an ectopic hydatidiform mole. A hysteroscopy with a laparoscopic exploration of the left adnexal mass and salpingotomy confirmed a diagnosis of intrauterine hydatidiform mole combined with left tubal pregnancy. Key Words: Heterotopic pregnancy, Intrauterine hydatidiform mole, Tubal pregnancy.

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