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Atypical presentation of molar pregnancy
  1. Ream Langhe,
  2. Bogdan Alexandru Muresan,
  3. Etop Akpan,
  4. Nor Azlia Abdul Wahab
  1. Department of Obstetrics and Gynaecology, Our Lady of Lourdes Hospital, Drogheda, Ireland
  1. Correspondence to Dr Ream Langhe, reamlanghe{at}


The classic features of molar pregnancy are irregular vaginal bleeding, hyperemesis, enlarged uterus for gestational age and early failed pregnancy. Less common presentations include hyperthyroidism, early onset pre-eclampsia or abdominal distension due to theca lutein cysts. Here, we present a case of molar pregnancy where a woman presented to the emergency department with symptoms of acute abdomen and was treated as ruptured ectopic pregnancy. The woman underwent laparoscopy and evacuation of retained products of conception. Histological examination of uterine curettage confirmed the diagnosis of a complete hydatidiform mole. The woman was discharged home in good general condition with a plan for serial beta-human chorionic gonadotropin (beta-hCG) follow-up. Complete follow-up includes use of contraception and follow-up after beta-hCG is negative for a year.

  • obstetrics and gynaecology
  • pregnancy
  • reproductive medicine

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  • Contributors RL: conception and design of study, acquisition of data. RL and AM: analysis and/or interpretation of data, drafting the manuscript. NA and EA: revising the manuscript critically for important intellectual content. All authors approved the final version of the manuscript to be published.

  • 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.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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