False Positive Test or Phantom hCG: A Case Report

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.