Woman 31yo 3 days ago epigastric pain.
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).
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.