title: Ruptured heterotopic pregnancy: an unusual presentation of an uncommon clinical problem.
abstract: A 30-year-old nulliparous lady presented to our Emergency Gynaecology Service with a 3-day history of epigastric pain and vomiting at 7 weeks of gestation. An intrauterine pregnancy had been confirmed 3 days earlier when she had attended with an episode of left-iliac fossa pain. Unfortunately, she became more unwell within 1 h of admission and as the cause of her symptoms was unclear, she was taken to the theatre for a joint gynaecology and general surgical diagnostic laparoscopy. This revealed a haemoperitoneum of 2 litres and a ruptured ectopic pregnancy in her left fallopian tube. A left salpingectomy was undertaken to remove the ectopic pregnancy. The patient made an excellent recovery and delivered a healthy baby at 39 weeks of gestation without further complication.
authors.affiliation: MRC Centrefor Reproductive Health, University of Edinburgh, Edinburgh, UK [corrected]. kylegibson@doctors.org.uk
authors.forename: Kyle R
authors.initials: KR
authors.lastname: Gibson
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Horne
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D050498:Live Birth; D011247:Pregnancy; D063192:Pregnancy, Heterotopic / Q000175:diagnosis* / Q000601:surgery*; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D058994:Salpingectomy; D014839:Vomiting / Q000209:etiology