ABSTRACT

Despite advancements in management and diagnosis, a ruptured ectopic pregnancy is still a major reason for pregnancy-related mortality and morbidity for the first trimester. 2% of all pregnancies are ectopic pregnancy, and the interstitial ectopic pregnancy rate is 2-4% among all ectopic pregnancies. We should consider it as an essential characteristic in each female of reproductive age that presents with the triad of amenorrhoea, unusual vaginal bleeding, and abdominal irritation. Interstitial ectopic pregnancy ruptures at a more sophisticated stage of gestation when compared with ectopic tubal pregnancy. Bleeding in interstitial ectopic pregnancy rupture is above that other ectopic pregnancies; also, it is life-threatening. Interstitial ectopic pregnancy rupture is two to five times greater compared to the maternal mortality rate than tubal ectopic pregnancy rupture. Developing a gestational sac causes uterine disruption and following hemorrhagic shock, resulting in morbidity and mortality. To reduce maternal mortality should be much more concerned about the convenient disclosure of this abnormal pregnancy condition. In this article, we report the twelve-week interstitial ectopic pregnancy case and the management approach that applied to our emergency department with the symptoms of acute hemorrhagic shock, vaginal bleeding, and acute abdomen.