Tulon Borah, Vandana Raphael, Subrat Panda, Pallab Saharia
Department of Obstetrics and Gynecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India.
J Reprod Infertil. 2010 Oct;11(3):201-3.
Ectopic molar pregnancy is a rare occurrence and consequently not often considered as a diagnostic possibility. In this article, an attempt was made to stress on the need for histopathological examination and follow up of every case of ectopic pregnancy. This was substantiated with the help of a case report.
A 30-year-old gravida 4, para 3, pregnant woman with a 7-week history of amenorrhea attended hospital with abdominal pain. Per vaginal examination revealed a tender left adnexal mass measuring 4x4 cm and on ultrasonography there was a live fetus corresponding to a 7-week and 6 days gestation with free fluid in the pelvic cavity. Laparotomy, revealed a ruptured left tubal ectopic pregnancy and histopathological examination was suggestive of a molar pregnancy.
Although rare, molar changes can occur at any site of an ectopic pregnancy. Clinical diagnosis of a molar pregnancy is difficult but histopathology is the gold standard for diagnosis.
异位葡萄胎妊娠极为罕见，因此常常不被视为一种可能的诊断情况。在本文中，我们试图强调对每一例异位妊娠病例进行组织病理学检查和随访的必要性。这一点通过一份病例报告得到了证实。
一名30岁、孕4产3的孕妇，停经7周，因腹痛入院。经阴道检查发现左侧附件有一个4×4厘米的压痛性肿块，超声检查显示有一个存活胎儿，孕周为7周6天，盆腔有游离液体。剖腹探查发现左侧输卵管异位妊娠破裂，组织病理学检查提示为葡萄胎妊娠。
尽管罕见，但葡萄胎样改变可发生在异位妊娠的任何部位。葡萄胎妊娠的临床诊断困难，但组织病理学是诊断的金标准。
