False Positive Test or Phantom hCG: A Case Report
Oguz Eroglu *
Department of Emergency, Faculty of Medicine, Kirikkale University, Turkey.
Yuksel Isik
Department of Obstetrics and Gynecology, Faculty of Medicine, Kirikkale University, Turkey.
Zeynep Dag
Department of Obstetrics and Gynecology, Faculty of Medicine, Kirikkale University, Turkey.
Ozlem Banu Tulmac
Department of Obstetrics and Gynecology, Faculty of Medicine, Kirikkale University, Turkey.
*Author to whom correspondence should be addressed.
Abstract
A 45-year-old female patient,gravida3,para3 was admitted to the emergency room because of pelvic pain and irregular menstruation. An human chorionic gonadotropin level ordered as part of the routine test was 210 IU/L. A pelvic ultrasound was negative for intrauterine pregnancy and the lower right lateral uterine tube measuring 1,5×2 cm. The patient was admitted to the gynecology clinic and following β -hCG levels remained between 250-300IU/L. She received methotrexate (MTX) 50 mg/m2 for a presumed ectopic pregnancy. Surgical management a diagnostic laparoscopy, which was negative for tubal and ovarian pregnancy. A diagnosis of chronic pelvic pain and with high β -hCG levels (where systemic methotrexate and laparascopic management is fail) was made and an abdominal hysterectomy was thus planned. Total abdominal hysterectomy with bilateral salpingooophorectomy was done. The patient was plateau in serum human chorionic gonadotropin after operation.
Keywords: Increased β-hCG levels, emergency room, suspected pregnancy, phantom hCG.