Ruptured Abdominal Ectopic Pregnancy in a 45-Year-Old Woman Using Long-Term Contraception: A Case Report in Salmaniya Medical Complex

Background: Abdominal ectopic pregnancy is a rare and potentially life-threatening condition. Prompt diagnosis and surgical intervention are critical. Case Presentation: A 45-year-old woman presented with acute abdominal pain and hemodynamic instability. A positive pregnancy test and imaging revealed a ruptured abdominal ectopic pregnancy. Management: Emergency laparotomy confirmed omental implantation with massive hemoperitoneum. The patient required transfusion support and later developed a pulmonary embolism. Histopathology confirmed products of gestation. Conclusion: This case underscores the importance of pregnancy testing in all reproductive-aged women with an acute abdomen, regardless of contraceptive use.