Woman 31yo with epigastric pain 3 days ago.
She came to MEDIC for
gastroscopy and result was gastritis, but ultrasound of
abdomen detected free fluid of ascites around border
of liver and small stone in gallbladder (see ultrasound images).
Liver was normal, and ultrasound
at pelvis detected one mass on the left side of uterus, round,
5cm diameter, solid mass with small vessel inside and RI
low ( see ultrasound images). Sonologist susgested an ovary
tumor in rupture.
MSCT with CE of this mass on left lateral of uterus...with CE
enhance like a nidus of pregnancy in rupture with a lot of blood clots in abdomen ( see 3 CT pictures).
Blood tests : CA-125 rising 125 UI/mL and
betaHCG rising 134UI/mL
WBC 15K with neutro 75%, Hct
29%.
Emergency operation in BINH DAN
hospital detected hemoperitoneum due to
rupture of tubal pregnancy (photo).
DISCUSSION:
Epigastric pain is a common indication to gastroscopy
that was not available for this case.
ULTRASOUND of ABDOMEN MUST BE FIRST CHOICE for CASE.
BLOOD TEST CA-125 RISING NO MEANING TO
OVARY CANCER.
Beta HCG was most sensitive for
diagnosis of this case.
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