Case Reports A CASE OF TUBAL ECTOPIC PREGNANCY

ABSTRACT A healthy 27 year old Para 3 presenting with abnormal menstruation without a period of amenorrhoea was diagnosed to have left tubal ectopic pregnancy after vaginal examination and abdominal ultrasonography. The case illustrates the need for careful history taking and the need for considering ectopic pregnancy in women in the reproductive age group, who have abnormal menstruation even if they are on contraception. Keywords: Ectopic pregnancy Leelavathi M, Tong SF, Hazizi H, Amilia-Hazreena H. A case of tubal ectopic pregnancy. Malaysian Family Physician. 2006;1(1):25-26 INTRODUCTION Ectopic pregnancy is a potentially fatal emergency condition if early diagnosis is missed. 1,2 The multitude of presentations to the primary care physician on first contact can be misleading in the absence of a high index of suspicion. The presentations vary widely from being asymptomatic to haemodynamically compromised. 2 This case illustrates a woman who has been on contraception without the classical symptoms of ruptured ectopic pregnancy.