Case report of an undisturbed ectopic pregnancy with very high human chorionic gonadotrophin (beta-hCG)‎

Abstract EN

This is a case report of a patient with an undisturbed ectopic pregnancy and very high levels of human chorionic gonadotrophin (β-HCG).

The patient presented to the emergency room at 9+1 weeks of gestation with mild abdominal pain and vaginal bleeding.

She had an obstetric history of two previous cesarean section deliveries.

On presentation, her human chorionic gonadotropin (β-HCG) was measured to be 26,530 mIU/ml, and after 18 hours, the β-HCG level was 25,660 mIU/ml.

An ultrasound scan revealed no evidence of intrauterine pregnancy, a left ovarian cyst measuring 2.86 cm x 2.17 cm, and the presence of a mixed mass near the ovary measuring 3.92 cm x3.62 cm.

The patient was diagnosed with a left tubal ectopic pregnancy and was taken for an immediate laparoscopy.

Intraoperatively, the left tubal ectopic pregnancy was undisturbed and measured about 4-5 cm involving more than half of the fallopian tube.

The mixed mass, along with the left fallopian tube, was removed as a whole.