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Tuboovarian pregnancy associated with elevated maternal serum alpha-fetoprotein. A case report
R J Barrett1, M A Harper, R B Marshall
1Department of Obstetrics and Gynecology, Bowman Gray School of Medicine, Winston-Salem, North Carolina.
Abstract:
Tuboovarian implantation is a rare form of pregnancy that is difficult to diagnose in early gestation. A patient with a tuboovarian pregnancy presented with abnormally elevated initial screening maternal serum alpha-fetoprotein (MSAFP). The elevated MSAFP and a pelvic mass of uncertain etiology on ultrasonography delayed the diagnosis until laparotomy was performed. Elevated MSAFP accompanied by oligohydramnios and a pelvic mass is a particularly suspect finding for a tuboovarian or other type of extrauterine implantation.
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