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Case Reports
. 2020 Apr 1;12(4):e7499.
doi: 10.7759/cureus.7499.

Missed Abortion Presented with Worsening Hyperemesis Gravidarum

Kulachanya Suwanwongse  1 , Nehad Shabarek  1
Affiliations
Case Reports

Missed Abortion Presented with Worsening Hyperemesis Gravidarum

Kulachanya Suwanwongse et al. Cureus. .

Abstract

Hyperemesis gravidarum (HG) is the most common cause of in-patient hospitalizations during the first half of pregnancy. The etiology of HG has not yet been elucidated, and the treatment is mainly symptomatic. Untreated severe HG can lead to catastrophic maternal complications such as cardiac arrhythmia and death. In contrast, the impact of untreated severe HG on the fetuses remains contradictory. Evidence suggested that HG may increase the risk of a small for gestational age (GA) fetus. We here report a case of 32-year-old nulliparous woman, GA of 14 weeks, who presented with worsening HG and later had a diagnosis of missed abortion. More research is needed to clarify the possibility of HG as a contributory cause of abortion.

Keywords: abort; case report; high-risk obstetrics; hyperemesis gravidarum; pregnancy.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Electrocardiogram showed sinus tachycardia with a heart rate of 135 beats per minute and marked ST abnormalities
Figure 2
Figure 2. Ultrasound pelvis found an abnormal appearing fetus without a cardiac activity, estimated GA of 12 weeks, and four days
GA, gestational age.
See this image and copyright information in PMC

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