Introduction: Ectopic pregnancy (EP) occurs in 1-2% of all natural conceptions, causing significant maternal morbidity and mortality. Ectopic pregnancy can recur anywhere in the abdominal or pelvic cavity, including the rare previous salpingectomy stump and its management can be either conservative, medical or surgical. Laparoscopic salpingectomy has been the gold standard in haemodynamically stable patients.

Case Report: We are reporting a case of a 31 years old lady, in her second pregnancy at 9 weeks of period of amenorrhoea, presented to early pregnancy assessment unit with right iliac fossa pain for 3 days. She had a previous laparoscopic right salpingectomy for ectopic pregnancy 4 months back. On diagnostic laparoscopy, she was found to have hemoperitoneum and a bulging mass about 2 cm in diameter at the proximal end of the previous salpingectomy remnant area. Total salpingectomy was done and histopathologic examination confirmed the diagnosis.

Conclusion: Given the possibility of transperitoneal migration of sperms or embryos, previous ipsilateral ectopic pregnancy does not exclude recurrence at the same side and thus requires clinician’s high index of suspicion.

Keywords: Ectopic pregnancy, previous salpingectomy, recurrent