Introduction: Ectopic pregnancies in the present day are on a rising curve. Ovarian pregnancy is a rare form of ectopic pregnancy with an estimated incidence of 0.5 to 3%. The ovum is fertilized in the peritoneal cavity and implanted on the ovarian surface. Ovarian ectopic pregnancy is associated with high morbidity and mortality rates. Objective: This paper aims to present clinical features, radiological features of an ectopic pregnancy. Results: Comparison of clinical features, radiological features suggested of final Diagnosis Conclusion: The findings at surgery establish Spiegelberg__ampersandsign#39;s criteria which is diagnostic for ovarian pregnancy. Laparoscopy is the mainstay of diagnosis as well as a treatment modality. Unless diagnosed early it will lead to catastrophic haemorrhage which may be life-threatening. The intra-operative diagnosis is confirmed by histopathological assessment.