Case Report of an Ectopic Molar Pregnancy in the Presence of an Intrauterine Device.

Autor:	Simon DA; Department of Obstetrics and Gynecology, Gundersen Health System, La Crosse, Wisconsin., Smith AL; Department of Medical Research, Gundersen Medical Foundation, La Crosse, Wisconsin, alsmith@gundersenhealth.org., Holzhauer JR; Department of Medical Research, Gundersen Medical Foundation, La Crosse, Wisconsin.
Jazyk:	angličtina
Zdroj:	WMJ : official publication of the State Medical Society of Wisconsin [WMJ] 2017 Nov; Vol. 116 (4), pp. 215-217.
Abstrakt:	Background: Ectopic molar pregnancy is a rare phenomenon and has not been reported in the presence of an intrauterine device (IUD). Clinical diagnosis of molar pregnancy is challenging and requires careful follow-up. Case: A 25-year-old woman (gravida 2, para 0) with a copper IUD in place presented with a positive pregnancy test. Diagnosis of the complete hydatidiform mole was pathologically confirmed after surgery following clinical and sonographic investigations that identified a left-sided ectopic pregnancy. Conclusion: Gestational trophoblastic disease (GTD) presenting as an ectopic pregnancy is a very rare occurrence. This patient recovered without event through a combined management and follow-up for ectopic pregnancy and gestational trophoblastic disease. Appropriate identification and management of this clinical problem is essential in order to prevent initial complications as well as subsequent malignant sequelae.
Databáze:	MEDLINE
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