ABSTRACT
The objective of this study is to present diagnostic dilemma ofectopic pregnancy. It is a complication of early pregnancywhere the developing embryo attaches outside the uterinecavity. Woman may be asymptomatic with recent menstrualdisturbance. Symptoms may be like abnormal uterine bleeding(AUB). In all cases sharp waves of abdominal pain is the majorpresenting symptom. Pain is sharp or dull, crampy or colicky innature. Although risk factors of ectopic pregnancy are commonin developing countries, the issue is increasing day by daythroughout the world including developed country as well. Thecauses are increasing due to the increased incidence of pelvicinflammatory diseases, STD, history of termination ofpregnancy and miscarriage, smoking, and IUCD users.