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A 35-year-old female gravida 2 was admitted to Emergency Department from infertility treatment clinic with intramural ectopic pregnancy suspicion after in vitro fertilization with intracytoplasmic sperm injection. Gynecological medical history include excision of left fallopian tube due to ectopic pregnancy and enucleation of FIGO 2 myoma. Her serum human chorionic gonadotropin concentration was 25660 milli-international units per milliliter. On examination, her abdomen was tender on palpation without peritoneal signs.