The occurrence of unilateral twin ectopic pregnancy is exceedingly rare and may be fatal as it poses a diagnostic challenge. Due to the rapid expansion in size caused by the two fetuses, it conspicuously leads to earlier tubal rupture as the fallopian tube does not naturally expand like the uterus does. Death results from catastrophic blood loss especially if the diagnosis is delayed or if the appropriate treatment is not provided in time. The use of transvaginal ultrasound combined with βhCG aids early diagnosis and has led to reduction in mortality resulting from ectopic pregnancy. We present a 24-year-old primigravida who presented to our hospital at 8 weeks of amenorrhea plus 1 day with symptoms and signs of a ruptured ectopic pregnancy. A transvaginal ultrasound revealed twin ectopic pregnancy in the right Fallopian tube which was confirmed at laparotomy. This case captured our interest because it is so rare and thought that sharing it with a wider community will contribute knowledge to the world of academia.