Abstract
Interstitial ectopic pregnancy is a medical emergency affecting women of reproductive age. Its presentation is late and is often misinterpreted as early miscarriage. If undiagnosed and allowed to progress to a significant gestation, rupture will occur with devastating maternal consequences. There are several treatment options available depending on a number of clinical factors; surgical, medical and expectant management. The most significant outcome is from early treatment, resulting in reduced maternal morbidity and preservation of fertility. The key to successful treatment is early detection. Ultrasound plays a major role in detection of this life threatening condition.