Case 8
Contributors
Dr.Ambika Sunil Gayad,
Dr.Anithraj
Clinical details
A 20-year-old married woman presenting with h/o
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Pain in lower abdomen since 1day
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Vomiting since 1 day
Menstrual History
LMP : 31/01/16(25 days ago)
Regular menstrual cycles.
Nulliparous married for a year and a half
Systemic Examination
Perabdomen: soft , non tender
Perspeculum: Vagina and cervix healthy. No PV discharge
Pervaginal examination:
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Uterus – anteverted, mobile, cervical motion tenderness +
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Right fornix: cystic mass felt, tenderness present in the right fornix
Laboratory findings
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​HB-8.9gm%
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Urine pregnancy test- Negative
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Serum beta HCG- negative(<2 mIU/ml)
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AFP- 122.4 (NR: 0.8-10)
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CA 125- 42.2 (NR: 0-350)
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Radiological Investigations
Radiograph of the Chest Radiograph of the Abdomen
(PA) ( Erect)
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Pelvic Ultrasound (Transabdominal)
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