Molar Pregnancy with False Negative β-hCG Urine in the Emergency Department

منو

" Molar Pregnancy with False Negative β-hCG Urine in the Emergency Department "
Hunter, Christopher L; Ladde, Jay

Document Type	:	AL
Record Number	:	933077
Doc. No	:	LA0d4221t8
Language of Document	:	English
Main Entry	:	Hunter, Christopher L; Ladde, Jay
Title & Author	:	Molar Pregnancy with False Negative β-hCG Urine in the Emergency Department [Article]\ Hunter, Christopher L; Ladde, Jay
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	12/2
Date	:	2011
Abstract	:	This case describes an atypical presentation of molar pregnancy in an emergency department patient with abdominal pain and vaginal bleeding. The patient demonstrated clinical features of hydatidiform mole, including acute discharge of a large, grape-like vesicular mass, despite multiple negative urine pregnancy tests. These false-negative qualitative human chorionic gonadotropin assays were likely caused by the “high-dose hook effect” and may have delayed proper care of the patient, who displayed pulmonary choriocarcinoma at the time of diagnosis. [West J Emerg Med. 2011;12(2):213-215.]