Rupture of an ovarian cyst is a common occurrence in women of reproductive age. Bleeding from ruptured corpus luteum may vary from mild hemorrhage to massive hemoperitoenum leading to shock necessating urgent surgical intervention. We present a 21 year female admitted with gross pallor, fainting attacks, abdominal distension .she had 6 weeks history of amenorrhoea.Clinically and sonologically the patient was diagnosed as ruptured ectopic pregnancy with massive hemoperitoneum but urine pregnancy test was negative. The laparoscopy revealed gross hemoperitoneum, ruptured left ovarian cyst with grossly nodular cirrhotic liver. There was no prior history or treatment suggestive of hepatic cirrhosis. The massive hemoperitoneum from luteal cyst rupture was secondary to deranged coagulation mechanism due to nodular cirrhotic liver. The laparoscopic procedure recorded, the journals regarding the topic searched and reviewed.