title: Recurrent vomiting in a woman due to miscarriage: think out of the box.
abstract: A 25-year-old gravida 2 para 1 with 12-week amenorrhoea presented a second time for recurrent vomiting in pregnancy. She was diagnosed to have a missed miscarriage following absent fetal heart seen in an early scan. She opted for conservative management. However, on the third presentation, her vomiting continued. Repeated transvaginal ultrasound scan showed a fetus with a crown rump length of 19 mm, which is equivalent to 8 weeks and 4 days, with absence of fetal heart pulsation. Thyroid function tests and β human chorionic gonadotropin were then requested. Results showed that the patient's serum β human chorionic gonadotropin level was markedly raised to 147,000. A molar pregnancy was suspected. Her thyroid function tests came back normal. Suction curettage was performed and histopathology confirmed a partial molar pregnancy. On follow-up, the β human chorionic gonadotropin level was normal by 7 weeks after the curettage.
authors.affiliation: Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia.
authors.forename: Salleha
authors.initials: S
authors.lastname: Khalid
authors.affiliation: Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia.
authors.forename: Muhammad Shamsir Mohd
authors.initials: MS
authors.lastname: Aris
mesh_terms: D000030:Abortion, Missed / Q000000981:diagnostic imaging*; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011247:Pregnancy; D012008:Recurrence; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal; D014619:Vacuum Curettage; D014839:Vomiting / Q000209:etiology*
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human