急诊科收治的葡萄胎
Molar pregnancy presenting in the emergency department.
作者信息
Wanchu Rohan, Rebik Jonathan, Macauley Emily, Elbadri Samyr, Leon Leoh, Jones Terrika, Ganti Latha
机构信息
University of Central Florida College of Medicine and HCA Florida Ocala Hospital, 6850 Lake Nona Blvd, Orlando, FL 32832, USA.
Lakeland Regional Medical Center, Lakeland, FL, USA.
出版信息
Radiol Case Rep. 2023 Apr 5;18(6):2063-2065. doi: 10.1016/j.radcr.2023.02.032. eCollection 2023 Jun.
A 27-year-old female grava1 para 0 presented to the emergency department with complaints of intractable nausea and vomiting associated with fatigue and shortness of breath for the past 2 weeks with concerns for pregnancy. Physical exam was benign. Labs were significant for a β-hcg level of 348,260 mIU/mL. Ultrasonography showed a 12.4 pelvic mass possibly arriving from the anterior uterus concerning for fibroid. US also showed an anechoic focus suggestive of a gestational sac measuring 2.09 cm. The presentation was concerning for hyperemesis gravidarum due to molar pregnancy.
一名27岁初产妇，孕1产0，因过去两周出现顽固性恶心、呕吐，伴有疲劳和呼吸急促前来急诊科就诊，怀疑怀孕。体格检查无异常。实验室检查显示β-hcg水平为348,260 mIU/mL。超声检查显示盆腔有一个12.4的肿块，可能来自子宫前壁，怀疑是肌瘤。超声还显示一个无回声区，提示有一个2.09厘米的妊娠囊。该表现提示可能是葡萄胎妊娠导致的妊娠剧吐。
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