PT  - JOURNAL ARTICLE
AU  - Marietta Tanudisastro
AU  - Rahul Chatterjee
AU  - Lyndal Anderson
AU  - Sofia Smirnova
TI  - Ruptured ectopic molar pregnancy and ruptured uterine fibroid: a challenging rare diagnosis
AID  - 10.1136/bcr-2022-251045
DP  - 2023 Jan 01
TA  - BMJ Case Reports
PG  - e251045
VI  - 16
IP  - 1
4099  - http://casereports.bmj.com/content/16/1/e251045.short
4100  - http://casereports.bmj.com/content/16/1/e251045.full
SO  - BMJ Case Reports2023 Jan 01; 16
AB  - 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.