Introduction: Gynecological emergencies often present as acute abdominal pain, however diarrhoea owing to gynecological pathology is rather unusual.

Objective: We would like to report a case of diarrhoea developed secondary to ruptured tubal ectopic.

Study Design: Case report. Place and time of study: Emergency department Aster RV hospital Banagalore on 13th June 2021.

Methodology: The patient presented with diarrhoea as a major symptom and on carrying out relevant investigations, including CT abdomen and pelvis lead to our final diagnosis.

Conclusion: Our case report depicts that a typical presentations of ectopic pregnancies are important to recognize as they can gastrointestinal disease. Its recommended that women of reproductive age who present with diarrhoea, vomiting or collapse, be investigated for possible ectopic pregnancy.