Ectopic pregnancy is a common problem and there is a potential threat for maternal morbidity and mortality. Ipsilateral ectopic pregnancy after partial or total salpingectomy is a rare occurrence with less than a dozen cases reported in the literature in the last 20 years. We are presenting the case of a 20 year old Para 0+1 young female who presented with colicky pain abdomen, sever pallor, hypotension, and tachycardia. She had a previous right sided ruptured ectopic pregnancy and right salpingectomy done six month back. On laparotomy, there was right sided ruptured ectopic pregnancy from previous salpingectomy site. This case emphasizes that total salpingectomy too carries the potential for the recurrence of ectopic pregnancy on the same side hence the need for clinician awareness and vigilance.

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