title: An unusual haemoperitoneum--secondary abdominal pregnancy.
abstract: A 36-year-old amenorrhoeic patient presented with vague abdominal discomfort, and haemodynamic instability, a large haemoperitoneum was identified on transvaginal ultrasound. Ruptured tubal ectopic pregnancy was suspected. At laparotomy ruptured primary tubal ectopic pregnancy was identified, with 12-14 week secondary abdominal pregnancy implanted onto the omentum, confirmed by histopathology. Salpingo-oophrectomy with peritoneal washout was performed, and three units blood transfusion was required. The patient had an uneventful recovery to health.
authors.affiliation: Obstetrics and Gynaecology Department, Southport and Ormskirk Hospital NHS Trust, Southport, UK. drmakh@doctors.org.uk
authors.forename: Muhammad Ahsan
authors.initials: MA
authors.lastname: Akhtar
authors.forename: Kate
authors.initials: K
authors.lastname: Navaratnam
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Davies
authors.forename: Sanjeev D
authors.initials: SD
authors.lastname: Sharma
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D003937:Diagnosis, Differential; D005260:Female; D006465:Hemoperitoneum / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D010052:Ovariectomy; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000000981:diagnostic imaging* / Q000601:surgery; D011274:Pregnancy, Tubal / Q000601:surgery*; D058994:Salpingectomy; D014463:Ultrasonography