Gyn: persistent HCG

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Nov 14 17:20:46 2006


34 YO P2002 ER 10/25 with acute abdominal pain, exam c/w acute abdomen, HCG 292, scan showing empty uterus and free fluid.

Lapscope--400 ml blood, normal tubes/pelvis save a clot from the left tube in the fibriated end. My diagnosis was a tubal abortion, and nothing done other than evacuation.

HCG two days later 113. Next week, 95, then 96 a couple of days later. Now, 2.5 weeks postop, it is 224. The exam yesterday (when blood was drawn) was normal.

What's next?

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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