Increase in the level of β-HCG after uterine artery embolization in the context of partial molar pregnancy: A case report

被引:0
|
作者
Light-Olson, Hannah [1 ,5 ]
Khanna, Caroline [1 ]
Brown, Alaina J. [2 ]
Voutsinas, Nicholas [3 ]
Boos, Elise W. [4 ]
机构
[1] Vanderbilt Univ, Sch Med, 1161 21st Ave S,D300, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Dept Gynecol Oncol, 1211 Med Ctr Dr, Nashville, TN 37232 USA
[3] Vanderbilt Univ, Med Ctr, Dept Intervent Radiol, 1211 Med Ctr Dr, Nashville, TN 37232 USA
[4] Vanderbilt Univ, Med Ctr, Dept Obstet & Gynecol, 1211 Med Ctr Dr, Nashville, TN 37232 USA
[5] 218 Watts Circle, Nashville, TN 37209 USA
来源
关键词
beta-hCG; Dilation and curettage; Gestational trophoblastic neoplasia; Molar pregnancy; Uterine artery embolization; MANAGEMENT;
D O I
10.1016/j.crwh.2023.e00552
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This report documents the case of a patient with a previously diagnosed partial molar pregnancy evacuated by dilation and suction curettage with appropriately declining post-operative levels of beta-human chorionic gonadotropin (beta-hCG), who, one month later, underwent uterine artery embolization in the setting of acute bleeding and imaging concerning for arteriovenous malformation. After embolization, beta-hCG levels increased, prompting concern for gestational trophoblastic neoplasia and referral to gynecologic oncology. With further workup, the elevation was found to be transient and benign - a phenomenon not previously described.
引用
收藏
页数:3
相关论文
共 50 条
  • [31] Ovarian artery supply of uterine fibroids as a cause of treatment failure after uterine artery embolization: A case report
    Nikolic, B
    Spies, JB
    Abbara, S
    Goodwin, SC
    JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1999, 10 (09) : 1167 - 1170
  • [32] A rare case of molar pregnancy at the uterine cornua - a case report
    Mohamed, R.
    Aana, Sandu L.
    Karuppaswamy, J.
    BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2013, 120 : 549 - 549
  • [33] Conservative treatment of ectopic cervical pregnancy with uterine artery embolization and cervical curettage: a case report
    Ciavattini, A.
    Clemente, N.
    Morini, S.
    Fichetti, M.
    Carpini, G. Delli
    Candelari, R.
    CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, 2018, 45 (03): : 456 - 458
  • [34] Management of uncomplicated interstitial pregnancy with systemic methotrexate and uterine artery embolization. Case report
    Dragusin, R. C.
    Sorop-Florea, M.
    Constantin, C.
    Tudorache, S.
    Cernea, N.
    Iliescu, D. G.
    CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, 2018, 45 (02): : 290 - 291
  • [35] Uterine sarcoma occurring in a premenopausal patient after uterine artery embolization: A case report and review of the literature
    Papadia, Andrea
    Salom, Emery M.
    Fulcheri, Ezio
    Ragni, Nicola
    GYNECOLOGIC ONCOLOGY, 2007, 104 (01) : 260 - 263
  • [36] Successful spontaneous pregnancy and delivery following myomectomy and uterine artery embolization (UAE) - A case report
    Balghari, Z.
    Chow, N.
    Comi, N.
    Antoniou, A.
    MIDDLE EAST FERTILITY SOCIETY JOURNAL, 2011, 16 (01) : 90 - 92
  • [37] Uterine artery embolization with methotrexate infusion as treatment for cesarean scar pregnancy. Case report
    Elito Junior, Julio
    Araujo Junior, Edward
    Martins Santana, Eduardo Felix
    Szejnfeld, Denis
    Helfer, Talita Micheletti
    Machado Nardozza, Luciano Marcondes
    Moron, Antonio Fernandes
    MEDICAL ULTRASONOGRAPHY, 2013, 15 (03) : 240 - 243
  • [38] Embrittlement of uterus after uterine artery embolization: a case of uterine perforation
    Sano, Yasuko
    Takeda, Jun
    Kuroda, Keiji
    Makino, Shintaro
    Itakura, Atsuo
    Takeda, Satoru
    HYPERTENSION RESEARCH IN PREGNANCY, 2016, 4 (01) : 42 - 44
  • [39] A case report of Ggeneralized uterine arteriovenous malformation after molar pregnancy in an infertile woman
    Ahmadi, Firoozeh
    Moukhah, Somayeh
    INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE, 2018, 16 (02) : 119 - 122
  • [40] Management of a Partial Molar Pregnancy A Case Study Report
    Drummond, Susan
    Fritz, Elizabeth
    JOURNAL OF PERINATAL & NEONATAL NURSING, 2009, 23 (02) : 115 - 123