An interstitial tubal pregnancy is a gestation occuring in the itramural porion of the endosalpinx. Its incidence is estimated to about 2.5% of all gestations. Symptoms and signs of interstitial pregnancy cannot be differentiated from the symptoms and signs of other ectopic pregnancies. Unruptured interstitial gestations are usually diagnosed incidental to the work-up of a suspected ecropic gestation. Ultrasoundl and diagnostic laparoscopy will aid in establishing the correct diagnosis. We present a case of unruptured interstitial pregnancy with brief review of litarture.