Metastatic hydatidiform invasive mole in lung presenting as massive hemothorax : A case report

Abstract

Author(s): Shqiptar Demaci, Arber Neziri*, Lumturije Gashi-Luci, Fisnik Kurshumliu, Sueda Latifi and Nazmi Kolgeci

We report a case of invasive metastatic hydatidiform mola on lung with clinical/ radiological signs of massive hemothorax, solved with urgent thoracotomy. A 30–year–old woman, nulliparious, was accepted to Gynecologic Clinic because of a planned operation of pelvic tumor. State after endometrial curettage. It is diagnosed as mola hydatidosa. It is evacuated hemorrhagic fluid after pleural punction. Thoracic Computed Tomography (CT)–scan reveals a great massive shadow with right compressive atelectasis of right lung. Urgent right thoracotomy solves massive clots and fresh hemorrhage. In lower right lobe it’s seen hemorrhagic tumor with dimension 3 cm × 2 cm and one smaller subpleuraly-1 cm × 1 cm, both excised with wedge resection. Pathological finding revealed invasive hydatidiform mole. Conclusion: Bleeding from metastatic hydatidiform mole from lung should be solving with surgical correction, and corresponding therapy for metastatic disease and careful surveillance of gynecologic problems.

Share this article