PMC9673982_01
Ultrasonographic appearance of the left adnexal mass: scarce colour Doppler flow in the left adnexal mass. The effectiveness of color-flow Doppler in the setting of a molar pregnancy is considered debatable. The typical finding of a molar pregnancy are the multiple small vesicles in a hyperechoic mass which classically give a "snowstorm" appearance.
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F1
Abdominal ultrasonography showed a left adnexal mass measuring 67 x 25 mm adjacent to the left ovary presenting a scarce colour doppler flow (Figure 1).
Ct scan: after intravenous injection of iobitridol (iodinated contrast agent), the CT scan showed the left adnexal mass with areas of low attenuation internally, outlined by highly enhanced contours.
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F2
To complete the ultrasonography, an abdominal CT was realized, confirming the ultrasonographic observations (Figure 2).
Intraoperative image of left fallopian tube ruptured by tissue with hydropic modifications which appear as semi-transparent tiny glistening cysts of variable size on its surface. A salpingectomy was performed due to the rupture of the tube.
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F3
Observation of the surface of the mass revealed tiny glistening cysts (Figure 3).
Pathology of the complete tubal hydatidiform mole: degeneration of chorionic villi around a central hydropic lacuna along with trophoblast development due to fertilization of the abnormal ovum defines the hydatidiform mole.
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F4
On histological examination, there were chorionic villi with circumferential trophoblastic proliferation, hydropic modification, scalloped villi and karyorrhexis (Figure 4).