Molar pregnancies in most instances develop within the uterine cavity, but may occur at any site. Ectopic molar pregnancy is a rare event. The objective of this study was to present a case of ruptured tubal molar gestation, discuss its clinical features and ways to improve diagnostic accuracy. A 35.year.old woman presented with features suggestive of ruptured tubal ectopic pregnancy. There was neither any evidence at the time of presentation to suspect a molar gestation, nor ƒÀ human chorionic gonadotrophin (ƒÀhCG) hormone estimation was done, but only a clearview pregnancy test was carried out. She had total left salpingectomy and histological evaluation of the specimen revealed complete hydatidiform mole. The hCG level normalized within 3 weeks of follow.up. Clinical features of ectopic molar pregnancy may be indistinguishable from non.molar ectopic pregnancy. We recommend ƒÀhCG estimation as well as histological examination of the surgical specimen for all patients coming with features suggestive of ectopic pregnancy.