JIST

Abstract

Normally, pregnancy begins with a fertilized egg and it attaches to the lining of the uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus. A growing ectopic pregnancy in any location can cause the tissue to become vascular, friable and eventually rupture resulting in internal bleeding. This situation can be life threatening and needs to be treated as medical emergency. The present case report is of a 22-year-old female who complained of multiple episodes of vomiting after eating food. She was admitted for one day as a case of unknown poisoning and was managed conservatively. She was referred to higher centre, where she was declared brought in dead. The interest in this case lies principally in the history of the illness, raising the suspicion of unknown poisoning and findings of ruptured ectopic pregnancy at post-mortem examination, which later on histopathological examination was confirmed as a case of uterus didelphys, a rare uterine malformation.