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Case Reports: Rare disease
Ruptured ectopic molar pregnancy and ruptured uterine fibroid: a challenging rare diagnosis
  1. Marietta Tanudisastro1,2,
  2. Rahul Chatterjee1,
  3. Lyndal Anderson3,4 and
  4. Sofia Smirnova1
  1. 1Obstetrics and Gynaecology, Royal Prince Alfred Hospital Women and Babies Ambulatory Care, Camperdown, New South Wales, Australia
  2. 2Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia
  3. 3Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
  4. 4Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Dr Marietta Tanudisastro; marietta.tanudisastro{at}health.nsw.gov.au

Abstract

Although rare and unusual occurrences, a ruptured ectopic molar pregnancy (MP) and a ruptured uterine fibroid can lead to significant maternal morbidity and mortality. We present a unique case of these complications developing concurrently—resulting in the haemodynamic compromise of an otherwise healthy young female patient. The patient underwent a diagnostic laparoscopy which converted into a laparotomy, salpingectomy and myomectomy. Comprehensive histopathology confirmed the diagnosis of a ruptured ectopic complete MP and ruptured uterine fibroid. The patient recovered quickly within days. Prompt definitive management, conclusive histopathology and adequate follow-up were the hallmarks of this singular case. These key factors lead to the rare diagnosis of ruptured ectopic MP and uterine fibroid, prevention of adverse outcomes and provision of comprehensive patient care.

  • Pregnancy
  • Obstetrics and gynaecology

http://dx.doi.org/10.1136/bcr-2022-251045

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    Footnotes

    • Contributors MT and RC drafted the report, collected informed consent and detailed information from the patient, medical staff and medical records. LA provided the histopathology images and their respective analyses. All authors edited the report into the final manuscript, were involved in patient care and results analysis and helped write the manuscript to the approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.