Document Detail

Unexplained, elevated maternal serum alpha-fetoprotein suggesting blunt abdominal trauma in pregnancy. A case report.
MedLine Citation:
PMID:  12953335     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Physical findings of abdominal trauma in pregnancy are often minimal or absent in spite of the poor outcome. CASE: A healthy, 28-year-old, Caucasian woman, gravida 3, para 2, underwent amniocentesis due to unexplained elevated maternal serum alpha-fetoprotein. The fluid was dark brown, evidence of an old intrauterine hemorrhage. Two weeks prior to blood sampling the patient experienced blunt abdominal trauma. In the emergency room no abnormal signs were found on physical examination. CONCLUSION: Abdominal trauma in pregnancy should be suspected in the case of elevated maternal serum alpha-fetoprotein and dark brown amniotic fluid.
Ayal Romem; Yitzhak Romem
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  48     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-09-04     Completed Date:  2003-11-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  566-8     Citation Subset:  IM    
Women's Health Center, Health Services, Clalit-Negev District, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
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MeSH Terms
Abdominal Injuries / blood*,  complications
Abdominal Pain / etiology
Amniotic Fluid / metabolism*
Pregnancy Complications / blood,  etiology*
Pregnancy Outcome
Wounds, Nonpenetrating / blood*,  complications
alpha-Fetoproteins / metabolism*
Reg. No./Substance:

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