Previously Asymptomatic Ruptured Tubal Ectopic Pregnancy at over 11 Weeks Gestation.

ABSTRACT

A 23-year-old, newly married female, G1P0 at 11 3/7 weeks' gestation, presented to the emergency department in B N Bose Hospital, Sub-Divisional Hospital, in West Bengal, complaining of sudden suprapubic and abdominal tenderness. It began after a single episode of nausea and vomiting earlier that morning. She described the pain as cramping and had noticed some spotting as well. She denied having any prior symptoms, and also denied significant medical, surgical or obstetric history. Her vital signs in the emergency department were- pulse-110 bpm, BP- 90/60, and SpO2 94% with room air.On physical examination, the patient was distressed. Her abdomen was non-distended but diffusely tender to palpation in the suprapubic region, worse on the right side. She had guarding with no rigidity. Laboratory results were positive for anaemia (haemoglobin- 5 gm/dL) and positive urine pregnancy test.