Peritoneal pregnancy may cause severe abdominal bleeding without genital bleeding as early as the fifth week of gestation. Awareness that pregnancy can exist in unusual locations is imperative.

To cite: Cooke WR, Kirk E. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-211871 DESCRIPTION Peritoneal loose bodies are asymptomatic free intraperitoneal masses, typically found incidentally. Their aetiology is attributed to torsion and separation of the appendices epiploicae; histology usually shows fibrous tissue. We report a case of ectopic pregnancy wi...