Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :

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Theca lutein cysts are most commonly associated with high levels of hCG, which can occur in cases of gestational trophoblastic disease, such as a hydatidiform mole.

Female Patient with History of Hydatiform and Complaining of Lower