Image 1-Ultrasound image of the saggital section of the pelvis showing two intrauterine gestational sacs with two fetal poles ,two amniotic cavities and a thick echogenic septa separating both the fetal poles. Note the free fluid with homogenous echos in posterior cul de sac.Image 2-nThick echogenic ring like structure seen surrounding fetal pole like looking structure is seen in left adnexa. Which did not had any cardiac activity(shown with green arrow). Note the intrauterine gestation in the uterine cavity. Image 3 -The fallopian tube held with bobs forcep contain the ectopic non viable pregnancy. Salpingotomy was performed and the intrauterine pregnancy were preserved.