Grace D., 27

Grace David is a 27-year-old pregnant woman living with her husband, child and niece in a single-room home in Auta-Balefi, Karu LGA. Her husband works as a security guard earning ₦30,000 monthly, while Grace teaches in a private school and earns about ₦10,000. Despite their limited income, Grace is determined to further her education and dreams of becoming a journalist. She enjoys listening to music and watching movies. Grace was rushed to the hospital with severe lower abdominal pain and fainting. An ultrasound confirmed a right-sided ectopic pregnancy, requiring emergency surgery. She underwent a successful salpingectomy under general anaesthesia and received a screened blood transfusion, which she tolerated well. Her condition improved, and she was discharged with antibiotics and pain medication to continue her recovery at home.

Grace David 27 years old pregnant woman diagnosed with Right adnexa live Ectopic pregnancy complicated with rupture and haemoperitoneum. For this patient, the prognosis is guarded in the acute phase because of rupture and haemorrhage, however, chances are that it can become favourable following timely emergency surgery, effective haemostasis and appropriate resuscitation, provided there are no major complications. This condition should be treated as an immediate surgical emergency and delay in operative management may significantly increase the risk of severe haemorrhage, shock, organ dysfunction and maternal mortality.