Ampullary tubal hydatidiform mole treated with linear salpingotomy. A case report.

BACKGROUND

While tubal pregnancies are common, only approximately 30 tubal hydatidiform moles have been reported. Most have been treated with salpingectomy. This case entails a tubal hydatidiform mole treated with salpingotomy without complications, persistence or recurrence.

CASE: A 25-year-old woman with an ampullary tubal pregnancy at 8 weeks' gestation underwent a laparoscopic salpingotomy. Preoperative human chorionic gonadotropin (hCG) was 6,909 mIU/mL. Pathology confirmed a partial hydatidiform mole. Three weeks postoperatively the hCG was 6 mIU/mL.

CONCLUSION

Tubal hydatidiform molar pregnancies are rare. Those which occur in the ampullary portion of the fallopian tube can be treated with linear salpingotomy.