Postoperative discovery of molar pregnancy

¹Department ´C´ of Gynecology and Obstetrics, Tunis Maternity and Neonatology Center, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia

^&Corresponding author
Haithem Aloui, Department ´C´ of Gynecology and Obstetrics, Tunis Maternity and Neonatology Center, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia

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This concerns a 52-year-old patient presenting with abdominal-pelvic pain and diffuse bloating. Upon gynecological examination, an enlarged uterus is noted. Endovaginal ultrasound reveals a 7 cm intracavitary fibroid with suspected degeneration. The patient underwent a hysterectomy. Intraoperatively, the surgeon observes a soft consistency of the uterus and decides to proceed with bilateral annexectomy. Upon dissection of the operative specimen, the typical appearance of a molar pregnancy is noted. This finding is confirmed by anatomopathological examination. The patient had a good postoperative recovery.

Figure 1: molar pregnancy: A) perioperative cluster of grapes appearance (black arrow); B) macroscopic view