Abstract Background: At least 90% of all ectopic pregnancies are located in the Fallopian tubes. Rupture rates differ according to localization of the ectopic masses. Isthmic ectopic pregnancies are more likely to rupture than ampullary ectopic pregnancies. Cornual pregnancies are capable of reaching further weeks of gestation. Abdominal ectopic pregnancies may even reach full-term, which is a very rare situation. Case: This article presents a case of an advanced unruptured tubal ectopic pregnancy reaching beyond the first trimester. A 36-year-old woman, gravida 4, para 2, curetage 1 was admitted to the emergency department of the Kanuni Sultan Suleyman Training and Research Hospital, in Istanbul, Turkey. She had severe abdominal pain and was admitted with clinical findings of a ruptured ectopic pregnancy. At exploration, an unruptured tubal ectopic pregnancy of 13 weeks and 3 days' duration was observed in the patient's right Fallopian tube during the operation. There was a fetus inside this Fallopian tu...