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{
    "pk": 7678,
    "title": "Uterine Rupture due to Invasive Metastatic Gestational Trophoblastic Neoplasm",
    "subtitle": null,
    "abstract": "While complete molar pregnancies are rare, they are wrought with a host of potential complications to include invasive gestational trophoblastic neoplasia. Persistent gestational trophoblastic disease following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. We present the case of a 21-year-old woman with abdominal pain and presyncope 1 month after a molar pregnancy with a subsequent uterine rupture due to invasive gestational trophoblastic neoplasm. We will discuss the complications of molar pregnancies including the risks and management of invasive, metastatic gestational trophoblastic neoplasia. [West J Emerg Med. 2013;14(5):444–447.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Hydatidiform mole"
        },
        {
            "word": "Gestational Trophoblastic Neoplasia"
        },
        {
            "word": "uterine rupture"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Obstetrics and Gynecology"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7064k01v",
    "frozenauthors": [
        {
            "first_name": "David",
            "middle_name": "I",
            "last_name": "Bruner",
            "name_suffix": "",
            "institution": "Naval Medical Center Portsmouth, Emergency Medicine Program, Portsmouth, Virginia",
            "department": "None"
        },
        {
            "first_name": "Amy",
            "middle_name": "M",
            "last_name": "Pritchard",
            "name_suffix": "",
            "institution": "Naval Medical Hospital Camp Pendleton, Oceanside, California",
            "department": "None"
        },
        {
            "first_name": "Jonathan",
            "middle_name": "E",
            "last_name": "Clarke",
            "name_suffix": "",
            "institution": "Naval Medical Center Jacksonville, Jacksonville, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2013-01-13T13:17:11Z",
    "date_accepted": "2013-01-13T13:17:11Z",
    "date_published": "2013-09-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7678/galley/4502/download/"
        }
    ]
}