Abstract
A 17-year-old female patient without systemic disease presented to the emergency department because of lower abdominal pain for 1 day. Intermittent vaginal spotting was noted for 2 months. On physical examination, she was afebrile, with a pulse rate of 86 beats/min and blood pressure of 118/72 mm Hg. Whitish vaginal discharge without active bleeding was found on pelvic examination. Laboratory tests showed a positive urine pregnancy test result and an elevated serum β-human chorionic gonadotropin (HCG) 225,000 mIU/mL.
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