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INTRODUCTION: Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy. It ends with rupture before the end of 1st trimester. Case report: A 30-year-old, married for 8 years, G3P2L2 with previous 2 LSCS with 1 month of amenorrhea presented with complaint of intermittent lower abdominal non radiating type of pain since 1 day. On examination, pallor noted, vitals were within normal limits. On per abdominal examination, diffuse tenderness noted, no guarding or rigidity. On per vaginal examination uterus was 6-8 weeks size with Right fornix fullness and tenderness noted along with cervical motion tenderness. Ultrasound showed heterogenous mass 7 x 5cm noted in Right adnexa, thick echogenic free fluid noted(~400ml) in POD. She underwent with exploratory laparotomy with right salphingo-oophorectomy. Intraoperatively, ruptured ectopic of 2 x 3 cm was noted on the surface of right ovary. Hemoperitoneum~400mL, clots ~720g and total estimated blood loss~1120mL was noted. Patient was discharged in a satisfactory condition on postoperatively day 4. Discussion: Ovarian ectopic pregnancy usually ruptures at an early gestational age. Spigelberg?s criteria is used to diagnose ovarian ectopic. Negative sliding organ sign is noted. Management of ovarian ectopic is essentially surgical. Selection of laparoscopy or laparotomy is influenced by gestational age, hemoperitoneum and hemodynamic status. Small lesions can be managed by enucleation, ovarian wedge resection or cystectomy whereas large ones require oophorectomy. Haemostasis can be achieved by electrocautery or suturing. With conservative surgery, beta hCG levels must be monitored. Conclusion: Early diagnosis and management of ovarian ectopic can prevent life threatening complications in the patient.