Ectopic pregnancy is defined as the implantation of the conceptus outside the uterus. About 98% of ectopic pregnancies are tubal. Other sites of ectopic implantation are the peritoneum or abdominal viscera, the ovary, and the cervix. Any condition that prevents migration of the fertilized ovum to the uterus can predispose to an ectopic pregnancy, including a history of infertility, pelvic inflammatory disease and prior tubal surgery. Combined intrauterine and extrauterine pregnancy (heterotopic) may occur rarely. Undiagnosed ectopic pregnancy is one of the most common causes of maternal death during the first trimester.