A case of ectopic pregnancy

Background: Ectopic pregnancy is a condition where pregnancy occurs outside the uterine cavity. It is a life-threatening condition and needs to be acted on urgently when suspected. Ectopic pregnancy should be suspected in any woman in childbearing age presenting with irregular vaginal bleeding like this case. Case: 36 years old female presented with history of irregular vaginal bleeding and lower abdominal pain and was found to be pregnant on assessment. She was referred to the emergency department with possible miscarriage however on assessment and imaging she was found to have disturbed ectopic pregnancy in fallopian tube. Conclusion: This case highlights the importance of careful history taking and assessment in women presenting with vaginal bleeding and taking the appropriate steps in arranging urgent management for this life-threatening condition. It is also a reminder that not all cases have a typical presentation and ectopic pregnancy should be suspected in women of childbearing age presenting with vaginal bleeding or abdominal pain. In fact ectopic pregnancy should be suspected until proven otherwise. Key words: ectopic pregnancy, vaginal bleeding.