Partial Invasive Mole with Bilateral Torsion of Theca Lutein Cysts

  • Randhir Sagar Yadav Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Shumneva Shrestha Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Santosh Sharma Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Meeta Singh Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Kesang Diki Bista Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Neebha Ojha Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal

Abstract

Gestational trophoblastic neoplasia is extremely rare entity accounting 1% of all gynecological malignancies. Invasive mole is a form of Gestational trophoblastic neoplasia which is locally invasive with propensity of metastasis. Association of partial mole with invasive mole and/or theca lutein cysts is a rare occurrence. Large cysts may present with complications. A case with these rare combinations presented at 15+3 weeks period of gestation as acute abdomen due to torsion of bilateral theca lutein cysts is reported. Right salpingo-ophorectomy with untwisting of left cyst was done. Six cycles of chemotherapy was given with regular βhCG monitoring. First trimester dating scan would have helped in early diagnosis, treatment and prevention of complications.
Keywords: Invasive mole; theca lutein cysts; torsion.

Published
2018-01-01
How to Cite
YADAV, Randhir Sagar et al. Partial Invasive Mole with Bilateral Torsion of Theca Lutein Cysts. Journal of Nepal Health Research Council, [S.l.], v. 15, n. 3, p. 298-300, jan. 2018. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1176>. Date accessed: 19 jan. 2018.