• LESSONS LEARNED THROUGH THIS CASE
• (1) Don’t be misled by other people’s clinical opinions: probably this mother had already an ectopic in December and D/C was the wrong therapeutic choice.
• (2) PID can produce symptoms which are very similar to those of a chronic ectopic pregnancy.
• (3) This patient had some of the features of a subacute ectopic (anaemia), and some of a typical chronic ectopic pregnancy (a history of chronic pain); this shows that there is no sharp borderline between these two conditions.
• Before you diagnose PID, stop and think – ‘Could this be a chronic ectopic?’: missing the diagnosis of ectopic pregnancy may be life threatening for the patient