Heterotopic pregnancy is a rare complication commonly seen in the population undergoing infertility treatment. It is a potentially dangerous condition occurring in only 1 in 30,000 spontaneous pregnancies and 1 in 100 to1 in 500 after the advent of Artifical reproductive technique (ART) and ovulation induction. It most often presents as the life threatening emergency like acute abdomen and haemorrhagic shock. Clinician must be alert to the fact that confirming an intrauterine pregnancy clinically or by ultrasound does not exclude the co-existence of an ectopic pregnancy. A high index of suspicion in women is needed for early and proper diagnosis and management with laparotomy or laparoscopy and can result in a favourable and successful obstetrical outcome. This paper represents a case of heterotopic pregnnacy as well as a literature review.