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Case Reports in Emergency Medicine
Volume 2016, Article ID 7154713, 3 pages
Case Report

A Ruptured Ectopic Pregnancy Presenting with a Negative Urine Pregnancy Test

1Department of Emergency Medicine, University Hospitals Case Medical Center, Cleveland, OH 44106, USA
2New York-Presbyterian Hospital/Columbia University Medical Center, New York, NY 10032, USA
3Department of Emergency Medicine, Eastern Virginia Medical School and Emergency Physicians of Tidewater, Norfolk, VA 23507, USA

Received 14 June 2016; Accepted 18 August 2016

Academic Editor: Vasileios Papadopoulos

Copyright © 2016 Johnathan Michael Sheele et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A negative urine pregnancy test in the emergency department traditionally excludes the diagnosis of pregnancy. We report a rare case of ruptured ectopic pregnancy in a patient with a negative urine pregnancy test but with a serum beta-human chorionic gonadotropin (β-hCG) of 10 mIU/mL. The patient developed hemoperitoneum and required laparoscopy by Obstetrics and Gynecology (OB/Gyn). This case highlights the fallibility of the urine pregnancy test in diagnosing early pregnancy.