INTRODUCTION: Ovarian pregnancy is extremely uncommon, and when it does occur, it typically occurs in young, multiparous women who are extremely fertile.

CASE PRESENTATION: We present a case ofa 33-year-old multiparous female who underwent bilateral tubectomy 4 years back, presented with abdominal pain, and was diagnosed as ruptured ectopic pregnancy and was confi rmed intra-operatively and histopathological as ovarian pregnancy.

DIAGNOSIS: Ruptured Ovarian Ectopic Pregnancy.

THERAPEUTIC INTERVENTION: The patient was immediately taken for surgery with blood transfusion (2 unit prc), laparotomy was done and the ruptured ovary was removed and cauterized.

CONCLUSION: We want to conclude that although ectopic ovarian or tubal gestation following tubectomy is uncommon, one must take this possibility into account if the patient exhibits the classic signs and symptoms of ectopic gestation after a history of amenorrhea. Better investigations and imaging technique knowledge are therefore vitally needed for early diagnosis in order to give time for conservative non-surgical management and lower morbidity related to blood loss and surgery.