{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T02:10:05Z","timestamp":1756347005354,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,4,8]]},"abstract":"<jats:p>A 40-year-old woman with a history of bilateral tubal ligation and a recent diagnosis of metastatic neuroendocrine tumour in the liver presented with severe nausea, vomiting, diarrhoea and dehydration. She had an inconclusive urine pregnancy test in the emergency department that was followed by an extremely high serum \u03b2-human chorionic gonadotropin. Transvaginal ultrasound, MRI and subsequent pathology from a dilation and curettage (D&amp;C) revealed that the patient had a complete molar pregnancy. This is a case of an unusual patient who reminds us that one person can have a rare diagnosis and an unexpected obstetrical outcome. We could find no evidence in the medical literature of a causal link between these two diagnoses but present this case report of a reproductive age woman with neuroendocrine tumour and complete molar pregnancy. This case also serves as an example of the phenomenon of the \u2018hook effect.\u2019<\/jats:p>","DOI":"10.1136\/bcr-2014-203588","type":"journal-article","created":{"date-parts":[[2014,4,30]],"date-time":"2014-04-30T19:20:09Z","timestamp":1398885609000},"page":"bcr2014203588","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Molar pregnancy after tubal ligation in a patient with neuroendocrine tumour: when a rare condition coincides with an unexpected diagnosis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Afi Mansa","family":"Semenya","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Mounsey","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,30]]},"reference":[{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.1","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1056\/NEJM199310073291503","article-title":"Motor dysfunction of the small bowel and colon in patients with the carcinoid syndrome and diarrhea","volume":"329","author":"von der Ohe","year":"93","journal-title":"N Engl J Med"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198912000-00011"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410110110038"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.4","unstructured":"Warner RRP . Carcinoid tumors. In: Berk JE , ed. Bockus Gastroenterology, vol. III, 4th ed., Berk JE, ed., Philadelphia, WB Saunders, 1985;1874\u20131886."},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.5","first-page":"12","article-title":"Neuroendocrine tumors: review and clinical update","volume":"43","author":"Mougey","year":"2007","journal-title":"Hospital Physician"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.6","doi-asserted-by":"publisher","DOI":"10.1530\/ERC-10-0280"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.7","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6604428"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60618-8"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.9","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2592"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.10","first-page":"e58","article-title":"Molar pregnancy with false negative urine hCG: the hook effect","volume":"51","author":"Pang","year":"2010","journal-title":"Singapore Med J"},{"issue":"(4 Pt 2 Suppl)","key":"2025082707054562000_2014.apr30_2.bcr2014203588.11","first-page":"720","article-title":"Hook effect\u2019 in complete hydatidiform molar pregnancy: a falsely low level of beta-HCG","volume":"82","author":"Levavi","year":"1993","journal-title":"Obstet Gynecol"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.12","first-page":"23","article-title":"Sterilization in the United States","volume":"1","author":"Bartz","year":"2008","journal-title":"Rev Obstet Gynecol"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.13","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(03)01245-2"},{"key":"2025082707054562000_2014.apr30_2.bcr2014203588.14","doi-asserted-by":"publisher","DOI":"10.1159\/000080731"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-203588","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:05:56Z","timestamp":1756303556000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-203588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,30]]},"references-count":14,"alternative-id":["10.1136\/bcr-2014-203588"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-203588","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,4,30]]}}}