Abstract

1–2 percent of all pregnancies involve an ectopic pregnancy. The majority occur in the fallopian tube, necessitating surgical or methotrexate-based treatment. The hemodynamic instability that can result from ruptured ectopic pregnancies necessitates immediate surgical intervention. The patient in this case presented at an unidentified location with diabetic ketoacidosis and a pregnancy. She was taken to the operating room for surgical management after a further evaluation revealed that she had a ruptured ectopic pregnancy. The pathophysiology of stress-induced diabetic ketoacidosis, the effects of elevated glucose in perioperative management, and the significance of multidisciplinary approaches to urgent clinical decision-making are among the topics we discuss.