Abstract
A pregnant 30-year-old gravida 5, para 2 (2 cesarean sections and 2 medical abortions) woman presented with a serum beta-human chorionic gonadotropin (β-hCG) level of 11 141 IU/L on the 47th day after her last menstrual period. Transvaginal sonography showed an empty uterus, and a curettage and laparoscopic exploration were nondiagnostic. Subsequently, her plasma β-hCG level rose to 17 351 IU/L. An abdominal computed tomography (CT) demonstrated a 2.2-cm pregnancy sac located on the surface of the inferior vena cava near the fourth lumbar vertebrae (Fig.
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