A molar pregnancy detected by following beta-human chorionic gonadotropin levels after a first trimester loss.
This case report summarizes the sequence of events that led to the detection of a molar pregnancy missed by ultrasound and initial pathology examinations. This patient illustrates that following serial quantitative beta-human chorionic gonadotropin (B-hCG) levels after spontaneous, therapeutic, and elective abortions will help detect potentially life-threatening molar and ectopic pregnancies. Further research is needed to determine the optimal frequency of B-hCG testing. For now, maternity care providers can follow the American College of Obstetrics and Gynecology recommendation that abnormal bleeding for more than 6 weeks after any pregnancy should be evaluated with B-hCG testing. Earlier testing may be considered.
Dresang
Lee T
LT
University of Wisconsin-Madison Medical School, Department of Family Medicine, St. Luke's Family Practice Residency, 1230 Grant Street, Milwaukee, WI 53215, USA. ldresang@fammed.wisc.edu
D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000032:analysis* / Q000378:metabolism; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011247:Pregnancy; D014463:Ultrasonography; D014922:Wisconsin
D018997:Chorionic Gonadotropin, beta Subunit, Human