07 April 2025
: Case report 
Diagnostic Challenges in Ectopic Pregnancy: Identifying Pseudo Sacs in Suspected Heterotopic Cases
Challenging differential diagnosis
Aditya Utomo
1ABEF*, Aditiyono Aditiyono 2ABF, Dina Marlina 1ADEF, Yuda Putra Disastra 1ADE, Artha Falentin Putri Susilo 3ABCDEF, Putri Nadhira Adinda Adriansyah 4AEF
DOI: 10.12659/AJCR.944924
Am J Case Rep 2025; 26:e944924
Table 1. Laboratory findings before and after surgery in a 28-year-old woman presenting at 6 weeks of pregnancy with tubal ectopic pregnancy.
| Findings | Muhammadiyah Hospital (Nov 5, 2023) | Margono Soekardjo Hospital (Nov 6, 2023) | Normal values (6 weeks’ gestation) |
|---|---|---|---|
| Hemoglobin (g/dL) | 10.3 | 9.9 | 11.0–14.0 |
| Hematocrit (%) | 33.4 | 30.4 | 33–42 |
| Leucocyte (/µL) | 16 820 | 12 270 | 6000–15 000 |
| Thrombocyte (/µL) | 242 000 | 292 000 | 150 000–400 000 |
| Random glucose (mg/dL) | 109 | 100 | 70–110 (fasting) |
| Anti-HIV | Negative | Negative | Negative |
| HBsAg | Non-reactive | Non-reactive | Non-reactive |
| Albumin (g/dL) | – | 4.32 | 3.0–5.0 |
| PT/aPTT (s) | – | 13/23.7 | PT: 11–14, aPTT: 25–35 |
| SGOT/SGPT (U/L) | – | 15/8 | SGOT: 5–40, SGPT: 5–35 |
| Urea/Creatinine (mg/dL) | – | 27.3/0.68 | Urea: 15–40, Creatinine: 0.5–1.1 |
| LDH (U/L) | – | 155 | 140–280 |
| Pregnancy test | Positive | Positive | Positive |