Rupture of cornual ectopic pregnancy after dilatation and curretage

A case of a cornual ectopic pregnancy missed at attempted pregnancy termination and with subsequent rupture is presented. The positive pregnancy test at the time of presentation to the emergency department was mistakenly thought to be due to continued detectable blood levels of human chorionic gonadotrophin from the aborted pregnancy. This caused a delay in surgical intervention and subsequent rupture of the ectopic pregnancy with hypovolemic shock.