Abdominal complete hydatidiform mole following uterine evacuation: a case report - Summary - MDSpire

Abdominal complete hydatidiform mole following uterine evacuation: a case report

  • By

  • Zeqing Du

  • Shizhao Wang

  • May 13, 2026

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Objective:

To report a rare case of abdominal hydatidiform mole diagnosed after uterine evacuation for complete hydatidiform mole, emphasizing its clinical significance.

Key Findings:
  • Persistent elevated serum hCG levels after uterine evacuation indicated potential ectopic disease, necessitating further investigation.
  • Diagnostic laparoscopy revealed a lesion in the rectouterine pouch, confirmed as abdominal complete hydatidiform mole through histopathological examination, highlighting the need for careful evaluation.
  • Post-surgery, serum hCG levels declined to normal, and the patient had no recurrence, underscoring the importance of monitoring.
Interpretation:

Abdominal complete hydatidiform mole is a rare but critical consideration in patients with rising hCG levels post-molar evacuation, highlighting the need for careful monitoring and evaluation to prevent misdiagnosis.

Limitations:
  • Imaging modalities may not detect ectopic hydatidiform moles effectively, potentially delaying diagnosis and treatment.
  • Diagnosis often relies on postoperative histopathological evaluation, which may lead to delays in management and increased risk for the patient.
Conclusion:

This case emphasizes the importance of postoperative hCG monitoring and the challenges in diagnosing ectopic hydatidiform moles, which can mimic gestational trophoblastic neoplasia, stressing the need for vigilance in clinical practice.

Original Source(s)

Abdominal complete hydatidiform mole following uterine evacuation: a case report

  • by Zeqing Du, Shizhao Wang

  • May 13, 2026

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