eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2021-02-03 9 4 238 240 10.12691/ajmcr-9-4-9 AJMCR2021949 article Donny Sutrisno Winardo donnywinardospog@gmail.com 1 John J. E. Wantania 1 2 Obstetrics and Gynecology Department, Faculty of Medicine, University of Sam Ratulangi, Manado, North Sulawesi, Indonesia Heterotopic pregnancy is a rare condition found. The incidence is around 1 in 30,000 spontaneous pregnancies. Ovarian pregnancies occur around 0.5-3% and heterotopic pregnancies around 2% of all ectopic pregnancies. The diagnosis is intricate and based on surgical and histopathological observations. The management is, in spite of medical improvement. We presented an ectopic pregnancy suspected of being a right ovarian pregnancy and undergoing surgery, then 1 month later an ectopic pregnancy reappeared in a tubal rupture on the opposite side. We describe based on the literature review, diagnosis criteria and case management. http://pubs.sciepub.com/ajmcr/9/4/9/ajmcr-9-4-9.pdf heterotopic pregnancy ovarian pregnancy superfetation