SUMMARYThe diagnosis of ectopic pregnancy is sometimes difficult on clinical grounds because of the varied presentation. The clinical triad of amenorrhoea, abnormal vaginal bleeding and lower abdominal pain often raises the suspicion of the diagnosis. There are, however, instances where one or other feature of the triad may be absent.The present case report illustrates an example of bilateral tubal ectopic pregnancies presenting without amenorrhoea. In this case the presentation was similar to an acute gastrointestinal problem.