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Juan C. Sanchez, MD; Janine E. Sanchez, MD
From the Department of Pediatrics, University of Miami School of Medicine, Miami, Fla.

Arch Pediatr Adolesc Med. 1998;152:827-828.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 15-YEAR-OLD black girl presented with complaints of intermittent vomiting, abdominal pain, and vaginal bleeding during the past month. She gave a history of having been raped 2 months earlier.

On pelvic examination, the uterine size was consistent with a 12-week pregnancy. Her last menstrual period had occurred 10 weeks earlier. Medical history was noteworthy only for easily controlled asthma. She was taking no medications. The urine pregnancy test results were positive. -Human chorionic gonadotropin (hCG) concentration in blood was 673160 IU/L (normal for this stage, <200000 IU/L). Abdominal ultrasound showed a 10.6x7.0x10.0-cm heterogeneous mass involving the uterus and containing cystic areas.

Suction dilatation and curettage were done. A brownish-tan, irregularly shaped, membranous, spongy mass with multiple translucent, membranous cysts was removed (Figure 1 and Figure 2). During the procedure, the patient had a narrow complex . . . [Full Text of this Article]