Khalid S.Aris M.S.M.2024-05-292024-05-2920161757790X10.1136/bcr-2015-2131652-s2.0-84963722370https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963722370&doi=10.1136%2fbcr-2015-213165&partnerID=40&md5=ea92704878732af376ef68d026b862dbhttps://oarep.usim.edu.my/handle/123456789/1000627030452A 25-year-old gravida 2 para 1 with 12-week amenorrhoea presented a second time for recurrent vomiting in pregnancy. She was diagnosed to have a missed miscarriage following absent fetal heart seen in an early scan. She opted for conservative management. However, on the third presentation, her vomiting continued. Repeated transvaginal ultrasound scan showed a fetus with a crown rump length of 19 mm, which is equivalent to 8 weeks and 4 days, with absence of fetal heart pulsation. Thyroid function tests and ? human chorionic gonadotropin were then requested. Results showed that the patient's serum ? human chorionic gonadotropin level was markedly raised to 147 000. A molar pregnancy was suspected. Her thyroid function tests came back normal. Suction curettage was performed and histopathology confirmed a partial molar pregnancy. On follow-up, the ? human chorionic gonadotropin level was normal by 7 weeks after the curettage. Copyright 2016 BMJ Publishing Group. All rights reserved.en-USArticle2016A486