A case of silent rupture of an ectopic pregnancy

Case report and review of literature.

To report a case of a woman with paraplegia who had ruptured ectopic pregnancy but presented with minimal non-specific symptoms and no clinical signs. A trans-vaginal scan confirmed the diagnosis and an emergency laprotomy was performed to save the patient's life.

Regional spinal injury unit in North West England.

The diagnosis of ruptured ectopic in spinal cord injury woman can be difficult due to the lack of classical signs and symptoms. Awareness and constant vigilance is required to detect the early signs. Clinicians looking after such women should have sound knowledge of nervous system diseases and their pathophysiology. There should be a high index of suspicion when managing such cases and a prompt surgical treatment should be initiated.