CASE 208: RETROPERITONEAL EXTRAUTERINE PREGNANCY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

WOMAN  26yo UNDERWENT in vitro fertilization–embryo transfer (IVF–ET) WAS WAITING FOR THE RESULT.

BETA HCG  WAS RISING UP FROM 9K  TO 17K  BUT ULTRASOUND  CANNOT FIND OUT THE   INTRAUTERINE NIDATION.

AT THE RIGHT  OVARY SITE,  ULTRASOUND DETECTED ONE  MASS OF 2 cm WITHOUT BLOOD SUPPLY WHICH WAS  BIG AND  CYSTIC HEMORRHAGIC, NEAR RIGHT ILIAC VEIN.
.

FIRST LAPAROSCOPY DETECTED NOTHING.

ONE WEEK LATER   MRI WAS PERFORMED ALSO DETECTED  THIS MASS WHICH WAS  GROWING IN RETROPERITONEAL SPACE, NEAR  RIGHT ILIAC VEIN. Beta HCG AT THAT TIME WAS  UP TO  39K.

OPEN  SURGERY  REMOVED THIS  MASS, SUSPECTED EXTRAUTERINE PREGNANCY 

WAIT  FOR   PATHOLOGY REPORT  AND  FOLLOW UP THIS CASE  AS  EXTRAUTERINE PREGNANCY IN RETROPERITONEUM.