{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:40:01Z","timestamp":1756294801544,"version":"3.44.0"},"reference-count":2,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,3,17]]},"abstract":"<jats:p>A 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\u2005mm, which is equivalent to 8\u2005weeks and 4\u2005days, with absence of fetal heart pulsation. Thyroid function tests and \u03b2 human chorionic gonadotropin were then requested. Results showed that the patient's serum \u03b2 human chorionic gonadotropin level was markedly raised to 147\u2005000. 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 \u03b2 human chorionic gonadotropin level was normal by 7\u2005weeks after the curettage.<\/jats:p>","DOI":"10.1136\/bcr-2015-213165","type":"journal-article","created":{"date-parts":[[2016,3,30]],"date-time":"2016-03-30T17:00:08Z","timestamp":1459357208000},"page":"bcr2015213165","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent vomiting in a woman due to miscarriage: think out of the box"],"prefix":"10.1136","volume":"2016","author":[{"given":"Salleha","family":"Khalid","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Shamsir","family":"Mohd Aris","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,3,30]]},"reference":[{"key":"2025082704004975000_2016.mar30_1.bcr2015213165.1","unstructured":"Ectopic pregnancy and miscarriage: diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage. National Institute of Clinical Excellence guidelines [CG154] Published date: December 2012."},{"key":"2025082704004975000_2016.mar30_1.bcr2015213165.2","unstructured":"The management of trophoblastic disease. Green-top guideline no. 38. Royal College of Obstetricians and Gynaecologists. February 2010."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:00:58Z","timestamp":1756292458000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,30]]},"references-count":2,"alternative-id":["10.1136\/bcr-2015-213165"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213165","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,3,30]]}}}