This article has a correction

Please see: BMJ Case Reports 2013;2013

BMJ Case Reports 2012; doi:10.1136/bcr-2012-007423
  • Rare disease

Ruptured heterotopic pregnancy: an unusual presentation of an uncommon clinical problem

  1. Andrew W Horne
  1. Division of Reproductive and Developmental Sciences, University of Edinburgh, Edinburgh, UK
  1. Correspondence to Dr Kyle R Gibson, kylegibson{at}


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.

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