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Case Reports
. 2012:4:423-5.
doi: 10.2147/IJWH.S32893. Epub 2012 Aug 22.

A molar masquerading as an ectopic pregnancy in the early first trimester: a salutary lesson

Abha Govind  1 , Nisha Lakhi
Affiliations
Case Reports

A molar masquerading as an ectopic pregnancy in the early first trimester: a salutary lesson

Abha Govind et al. Int J Womens Health. 2012.

Abstract

The authors report a case in which a molar pregnancy was mistaken for an ectopic pregnancy in the early first trimester. This confusion delayed diagnosis and caused distress; follow-up led to the final diagnosis of complete hydatidiform mole. Correct preoperative diagnosis of molar pregnancy by ultrasound in early pregnancy may be tricky. It is important to obtain histological evidence to make the final diagnosis of gestational trophoblastic disease. While relatively rare, consideration of molar pregnancy in the differential diagnosis of early pregnancy loss may avoid unnecessary distress.

Keywords: complete hydatidiform mole; diagnosis; first trimester ultrasound; gestational trophoblastic disease; molar pregnancy.

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Figures

Figure 1
Figure 1
Transverse view at the fundus thought to be of retained products of conception (day 21).
Figure 2
Figure 2
Scan appearance of molar pregnancy on day 27.
See this image and copyright information in PMC

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