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Molar Pregnancy with False Negative β-hCG Urine in the Emergency Department.
MedLine Citation:
PMID:  21691529     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Christopher L Hunter; Jay Ladde
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The western journal of emergency medicine     Volume:  12     ISSN:  1936-9018     ISO Abbreviation:  West J Emerg Med     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-06-21     Completed Date:  2011-07-14     Revised Date:  2011-08-01    
Medline Journal Info:
Nlm Unique ID:  101476450     Medline TA:  West J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  213-5     Citation Subset:  -    
Affiliation:
Orlando Regional Medical Center, Orlando, FL.
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