A RARE CASE OF TROPHOBLASTIC TUMOR WITH FALLOPIAN TUBE LOCALIZATION FOLLOWING OVARIAN STIMULATION

CLINICAL CASE

Abstract

The real incidence of gestational trophoblastic disease is unknown in our country and there is no reported case of tubal localization. We describe a commune case of trophoblastic tumor localization in the fallopian tube following ovarian stimulation.A 39-year-old woman was admitted in our clinic for amenorrhoea, lower abdominal pain and vaginal bleeding. She underwent ovarian stimulation with Clomiphene citrate for induction of ovulation. The clinical and ultrasound examination revealed a tumor in the right side of the uterus, a tumor of 3/4cm sensitive, belonging to the right adnexa. The human chorionic gonadotrophic hormone (-HCG) from the blood was about 19 000 IU/mL without gestational sac and embryo inside the uterus. We performed laparoscopy. The right tube was enlarged of about 6/3 cm, of purple color and adherent to the anterior wall of the urinary bladder. We performed the dissection of the adhesion and right laparoscopic salpingectomy.The postoperative outcome was favorable. The histopathological examination revealed the presence of the trophoblastic cells into the fallopian tube. The immunohistochemical examination confirmed the diagnosis. The surgical treatment was curative and the patient had no further gynecological or other related complains one year later. We presented a rare case of trophoblastic tumor localized into the fallopian tube. The particularity of this case is the clinical presentation as a persistent ectopic pregnancy and the fact that it is related to ovarian stimulation.