We present an interesting case in early pregnancy who reported to us with pain abdomen. Initial management was based on the clinical picture, serum beta hCG, and ultrasound findings. Few days later as there was a disparity between the three, surgical intervention was carried out. Despite all interventions we could not find the origin of high beta hCG levels in our case in the absence of a proven pregnancy .even after an extensive literature search we were unable to dissolve the mystery of our case.
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