Acute hemoperitoneum after tubal rupture in a patient with synchronous intrauterine and ectopic pregnancy: A rare and life-threatening condition

Case Description A 32 year-old woman with an 8 week pregnancy after natural conception and no previous history of abdominal surgery was admitted to the gynaecological emergency department with a 48-hour history of acute abdominal pain. Previous history included four natural childbirths and one miscarriage. Abdominal pain started in the periumbilical region, and migrated to the right iliac fossa and lumbar region within a few hours. She had no fever, nausea or vomiting, and no abnormal vaginal discharge or bleeding.