An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain

Ectopic pregnancy occurs at a rate of 1%–2% of all pregnancies, and tends to occur at a higher rate (up to 4%) in patients receiving fertility treatments.[1] Women with ectopic pregnancies are often asymptomatic or may complain of amenorrhea, vaginal spotting, and lower abdominal cramping pain. They may also report common symptoms of early pregnancy such as nausea, vomiting, dizziness, and flu-like illness. Once ruptured, patients classically present with severe abdominal pain, rebound and rigidity, tachycardia, and hypotension.[1] Here we present a case of a young woman with a very atypical presentation of ruptured ectopic pregnancy