Successful live delivery despite an inappropriate rise in the serial human chorionic gonadotropin level
Journal Title: Clinical and Experimental Obstetrics & Gynecology - Year 2019, Vol 46, Issue 2
Abstract
Purpose: To describe a second case of viability past the first trimester despite an inappropriate rise of the serum human chorionic gonadotropin (hCG) levels in the early pregnancy. Materials and Methods: A serum beta hCG level was obtained 17, 28, and 31 days after conception. Serial sonographic studies were performed throughout the first trimester and into the early second trimester. Results: The first serum hCG level at 17 days from conception was appropriate at 484 mIU/mL. The serum beta hCG level did not appropriately increase at 28 and 31 days (4,844 and 9,585 mIU/mL), respectively. Nevertheless fetal viability was seen on sonography throughout the first and early second trimester.s She delivered a full-term healthy baby. Also for the first time a full-term delivery of a healthy baby from the first described case is reported (this case had only described surviving the first trimester. Conclusions:A delivery of a healthy baby despite inappropriate rising serial beta hCG levels is possible but rare.
Authors and Affiliations
J. H. Check, D. L. Check, R. Chern
Spontaneous resolution of severe non-immune hydrops fetalis with unknown etiology in the 32nd week of pregnancy: a case report and short review
Non-immune hydrops fetalis (NIHF) is a symptom of other underlying complications during pregnancy, such as lymphatic dysplasia and cardiovascular, hematologic, and chromosomal disorders. The incidence of spontaneous reso...
Assessment of ovarian reserve with anti-Mullerian hormone in women following allogeneic hematopoietic cell transplantation
Introduction: Severe ovarian failure and persistent infertility have could be seen in females following allogeneic hematopoietic cell transplantation (allo-HCT.) In this study, the authors aimed to determine the effectiv...
Carbon dioxide laser as a new valid treatment of lichen sclerosus
Purpose of Investigation: To investigate the role of CO2 laser in the patients affected by lichen sclerosus (LS), analyzing histological changes and relief of feminine discomfort. Materials and Methods: The authors repor...
Long standing post-herpetic neuralgia resistant to standard anti-neuropathy medication showing quick dramatic improvement following treatment with sympathomimetic amines
Purpose: To determine if treatment with dextroamphetamine sulfate can alleviate severe chronic post-herpetic neuralgia that failed to respond to standard drugs typically used for neuropathy. Materials and Methods: An 88-...
A novel retrograde approach for total laparoscopic hysterectomy in patients with severe adhesion in the cul-de-sac
Purpose of Investigation: The purpose of the present study was to establish retrograde-total laparoscopic hysterectomy (TLH) as a treatment option for patients with severe adhesions. Materials and Methods: A retrospectiv...