Spontaneous ruptured and intact bilateral tubal ectopic pregnancy

A 35-year-old Iraqi woman (gravida 7, para 5 + 1 abortion) was admitted to the Jordanian field hospital in Fallujah, Iraq in January 2004 with a history of 8 weeks amenorrhoea; intermittent vaginal bleeding and mild lower abdominal pain of 4 weeks duration; and a positive urine pregnancy test on the day of admission. She had been married for 13 years. Her menstrual history was not relevant. There was no past history of contraception use or previous abdominopelvic surgery.