The Hidden Ectopic
Case Report 46-year-old lady, nulliparous, was a known case of severe endometriosis with adenomyosis. She had undergone 3 laparoscopic surgeries, first in 1993 for bilateral endometriotic cysts, and the last one in 2013, which showed dense bowel adhesions to the uterus with both adnexa completely covered with bowel adhesions. She had a hydrosalpinx for which she underwent right salpingectomy during the last laparoscopy. Husband was diagnosed with non obstructive azoospermia with elevated FSH levels. She underwent IVF in October 2015, during which 2 embryos were transferred. Her beta hcg on day 14 was 1810. When repeated after 4 days, the value was 8025. An ultrasound was done which revealed no intrauterine or extrauterine sac. Patient was followed up with beta