Molar pregnancies results from a tainted fertilization process. Trophoblastic thyroidian hyper function is an unusual complication of a molar pregnancy. The degree of thyroid stimulation and the severity of clinical hyperthyroidism is directly proportional to HCG concentration. Human chorionic gonadotrophin is almost identical with TSH, luteinizing hormone (LH) and follicle-stimulating hormone, this analogy in the structure will cause cross-reactivity with their receptors. Hyperthyroid status can vary from asymptomatic hyper function to thyroid storm. Dilation and curettage represents the treatment for hyperthyroidism in molar pregnancy. Awareness of this condition is important for diagnosis and treatment.

Ectopic pregnancy is one of the most important emergencies of obstetrics and gynecology. We present a case of a 32-year-old female patient clinically and paraclinicaly diagnosed with a complicated ectopic abdominal pregnancy. A emergency laparoscopy was made and afterwards methotrexat treatment was initiated.

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