Figure 8.

A 23-year-old married female presented with right lower abdominal pain of 1-day duration. Her last menstrual period was 2 weeks before. Her blood pressure was 120/70 mmHg, and her pulse rate was 90 beats/min. On examination, she did not look sick, and her abdomen was soft and lax. There was mild tenderness in the right iliac fossa. Abdominal ultrasound (a) showed free intraperitoneal fluid (black arrow). Pregnancy test was urgently requested and was positive. The patient had a laparotomy which showed one and half liters of blood (b) caused by an ectopic pregnancy located in the right fallopian tube which was excised (c). The patient had a smooth postoperative recovery. (Courtesy of Professor Fikri Abu-Zidan)