title: A case of silent rupture of an ectopic pregnancy.
abstract: METHODS
  Case report and review of literature.
  
  
  OBJECTIVE
  To report a case of a woman with paraplegia who had ruptured ectopic pregnancy but presented with minimal non-specific symptoms and no clinical signs. A trans-vaginal scan confirmed the diagnosis and an emergency laprotomy was performed to save the patient's life.
  
  
  METHODS
  Regional spinal injury unit in North West England.
  
  
  CONCLUSIONS
  The diagnosis of ruptured ectopic in spinal cord injury woman can be difficult due to the lack of classical signs and symptoms. Awareness and constant vigilance is required to detect the early signs. Clinicians looking after such women should have sound knowledge of nervous system diseases and their pathophysiology. There should be a high index of suspicion when managing such cases and a prompt surgical treatment should be initiated.
authors.affiliation: Department of Obstetrics and Gynaecology, Southport and Formby District General Hospital, Southport, Merseyside, UK. nikitarawal@yahoo.co.uk
authors.forename: N
authors.initials: N
authors.lastname: Rawal
authors.forename: S
authors.initials: S
authors.lastname: Sharma
authors.forename: B
authors.initials: B
authors.lastname: Soni
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D010264:Paraplegia / Q000503:physiopathology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000601:surgery*; D012422:Rupture, Spontaneous / Q000150:complications* / Q000175:diagnosis; D013119:Spinal Cord Injuries / Q000209:etiology / Q000503:physiopathology*