RUPTURED TUBAL ECTOPIC PREGNANCY PRESENTING FOUR YEARS AFTER SUB TOTAL HYSTERECTOMY

Incidence of ectopic pregnancy after Hysterectomy is extremely rare with only 56 cases reported in medical literature(2). If it is not considered as a differential diagnosis of acute abdomen in hysterectomised patient, the diagnosis may be delayed, leading to death. We report an extremely unusual case of ectopic pregnancy which occurred 4years after sub-total Hysterectomy (Indication Atonic post partum haemorrhage) and which presented as acute abdomen with hypovolemic shock.