The cause of death, as recorded on the death certificate, was listed as

1a Intra-peritoneal haemorrhage
1b Ectopic pregnancy
2 Scarred fallopian tubes

The fallopian tubes are the site of the ectopic pregnancies in 99% of cases.

This undetected ectopic pregnancy implanted in the fallopian tube and grew for up to 8 weeks. After this time the fallopian tube was too small for continued growth. This caused tubal rupture and subsequent tubal haemorrhage, this resulted in a huge internal bleed and then a rapid death. This case shows the importance of taking a menstrual/sexual history when examining females of reproductive age.

When picked up early, this condition can be treated surgically.

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