Title: Organized Tubal Ectopic Pregnancy Imitating a Pedunculated Myoma: A Diagnostic and Surgical Challenge (Case Report)
Authors: S. Lamsyah, Z. Benaboud, N. Douzi, M. Bendahhou Idrissi, N. Mamouni, S. Errarhay, C. Bouchikhi, A. Banani Obstetrics gynecology department I University hospital Hassan II Fez
Volume: 9
Issue: 4
Pages: 87-89
Publication Date: 2025/04/28
Abstract:
Background: Organized ectopic pregnancy can clinically and radiologically mimic benign pelvic masses such as pedunculated myomas, posing a diagnostic challenge. Presentation: A 30-year-old multiparous woman presented with two months of pelvic pain, menometrorrhagia, and amenorrhea. Imaging revealed a retro-uterine vascularized mass measuring 12x6 cm, with differential diagnoses including pedunculated myoma and ectopic pregnancy. Management: Exploratory laparotomy revealed a mass involving the right fallopian tube. Salpingectomy was performed, and histology confirmed a tubal ectopic pregnancy. Postoperative methotrexate was administered for residual trophoblastic implants.Conclusion: Ectopic pregnancy should be considered in reproductive-age women with atypical pelvic masses. Surgical exploration is often necessary when imaging is inconclusive.