Introduction: Implantation of blastocyst outside of the endometrial cavity leads to ectopic pregnancy, and it might lead to one of the acute abdominal emergencies. Among all the ectopic pregnancies that occur, the abdominal ectopic pregnancy occurs less than 1% of the time. The incidence of ectopic pregnancy has increased in recent times, but easier diagnosis and prompt management has lead to a drastic decline in maternal mortality and morbidity. Case Summary: A 26 year old female, Gravida 2 Para1 Living 1 came to OPD of our institution, with a positive UPT and complaints of bleeding since 1 day. On assessment, she was found to be tachycardic, with normal blood pressure, with guarding and right ilia fossa tenderness. Ultrasound was suggestive of a ruptured ectopic. Intraoperatively a diagnosis of Pimary Abdominal Pregnancy was made. Conclusion: As the use of assisted reproductive techniques is on the rise, the complication of ectopic pregnancies is also rising in manifolds. But apart from all the risk factors that have been identified for these pregnancies, there are few cases that occur as sporadic cases with no such identifiable risk factors. Hence, only vigilance while history taking and basic clinical examination can reduce the mortality and morbidity associated with it