This case in North Carolina involves a pregnant female patient in her thirties. On the day the pregnancy was identified, sonography did not reveal the development of a fetus within the woman’s uterus. The woman continued to follow up with her OB/GYN, who detected elevated levels of hCG but was unable to visualize the developing pregnancy on ultrasound. The woman’s hCG levels continued to increase over subsequent visits, and an ectopic pregnancy was strongly suspected. The woman was started on medication to treat the ectopic pregnancy, however treatment was generally conservative. Eventually, the woman presented to the emergency room with extreme abdominal pain. The patient was taken for surgery, where it was discovered that her ectopic pregnancy had ruptured her fallopian tube. As a result of her injuries, the woman now suffers from significantly reduced fertility.