Abstract Since the first laparoscopic cholecystectomy on a pregnant lady in 1991, a plethora of articles and case studies have been published addressing laparoscopy and their role in pregnancy. The Royal College of Obstetricians and Gynecologists Green-top Guidelines recommends laparo-scopic surgery as the preferred approach in early ectopic tubal pregnancies. Laparoscopic versus laparotomy management of abdominal ectopic is a traumatic experience both on physical and emotional levels. The case study was a 36-year-old grav-ida 2 para 0 patient, previously normal pregnant lady, inwhich the follow-up ultrasound revealed moderate hemoperitoneum at 14–16 weeks of gestation. Upon urgent diagnostic laparos-copy, massive hemoperitoneum was detected despite no clin-ical signs of hemodynamic instability. Uterus was found to be within the normal measurements consistent with the nonpreg-nant state. Multiple myomas were clearly seen in the uterine wall. A fetus of 14–16 weeks was detected attached to the colon during formal laparoscopic pelvic and abdominal explo-ration for ectopic pregnancy. Operative laparoscopy for ab-dominal ectopic in skillful hands can be considered a feasible management technique carrying all the advantages of a mini-mally invasive procedure