Tuboovarian pregnancy associated with elevated maternal serum alpha-fetoprotein. A case report.
Tuboovarian implantation is a rare form of pregnancy that is difficult to diagnose in early gestation. A patient with a tuboovarian pregnancy presented with abnormally elevated initial screening maternal serum alpha-fetoprotein (MSAFP). The elevated MSAFP and a pelvic mass of uncertain etiology on ultrasonography delayed the diagnosis until laparotomy was performed. Elevated MSAFP accompanied by oligohydramnios and a pelvic mass is a particularly suspect finding for a tuboovarian or other type of extrauterine implantation.
Department of Obstetrics and Gynecology, Bowman Gray School of Medicine, Winston-Salem, North Carolina.
R J
RJ
Barrett
M A
MA
Harper
R B
RB
Marshall
D000328:Adult; D003951:Diagnostic Errors; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D007813:Laparotomy; D010053:Ovary / Q000473:pathology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis*; D011274:Pregnancy, Tubal / Q000175:diagnosis*; D014463:Ultrasonography; D000509:alpha-Fetoproteins / Q000032:analysis*
D000509:alpha-Fetoproteins