Broad ligament ectopic pregnancy is a rare and life threatening condition. It is either due to primary implantation of the zygote on the broad ligament or followed by secondary implantation in fallopian tube, ovary or other peritoneal surface. Uterus located medially to the ectopic pregnancy. An ectopic pregnancy implanted between the leaves of the broad ligament is a challenge to diagnose and manage. It can be found in almost any week of pregnancy, and it can present with a great spectrum of symptoms. This makes it necessary for the clinician to keep a high level of alertness and suspicion for this uncommon diagnosis and to be prepared when treating any ectopic pregnancy with poor response to medical treatment.