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Second trimester unruptured tubal pregnancy is rare among ectopic pregnancies. Ultrasonography is still a diagnostic modality.  Early diagnosis can avert rupture and potential mortality and morbidity. We report a case of a woman presented to our department with abdominal pain, vaginal spotting and three-months amenorrhea. Transvaginal ultra-sonography showed a gestational sac in left adnexa, with a live 13-weeks fetus. Exploratory laparotomy and left sided salpingectomy was performed. Patient’s post-operative course was uneventful. Our case demonstrates that ectopic pregnancy may be diagnosed in advanced gestational age, making emergency surgical management the choice of treatment in most of the patients.

A 13-week tubal pregnancy with live fetus