Twin ectopic pregnancy is a rare entity. Ultrasonography is a potential investigation to diagnose this entity and in emergency settings like ruptured ectopic pregnancy, it is the first investigation owing to its easy availability, less time consuming and cost effectiveness.  Few studies have demonstrated association of ectopic pregnancy with congenital uterine anomaly as in this case.

Keywords: Ultrasonography, Ectopic pregnancy, Septate uterus, Twin pregnancy.

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