Early pregnancy scan and a good antenatal care are the most important entities which most of the rural areas in India lack. Here, we report a case of late tubal pregnancy who was mistakenly diagnosed as abdominal pregnancy. Intraoperative findings showed an unruptured 16 weeks tubal ectopic pregnancy which states that at such an advanced gestation it would be very difficult to diagnose either. This states the importance of an early ultrasound diagnosis of an intra-uterine pregnancy especially in developing countries which is required in each and every antenatal patient to ensure a safe and a healthy pregnancy.
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