Background: Primary abdominal pregnancy occurs when the gestational sac attaches directly to the abdominal peritoneum. It is difficult to establish a confirmed diagnosis in an acute setting and half of them are only confirmed during operation. Most of the cases were diagnosed at the time of the surgery which increases the chances of morbidity and mortality if prior suspicion is not considered which leads to grave injury to the female psychologically as well as physically. Case description: We present a case of an abdominal pregnancy of a 26-year-old woman conceived after ovulation induction and presented with a symptom of spotting and pain abdomen and operated laparoscopically. The patient recovered completely after surgery and followed up weekly till β-human chorionic gonadotropin (β-hCG) normalized. Conclusion: A high suspicion of abdominal pregnancy should always be kept in the mind because of the various presentations, especially in early pregnancy. Early diagnosis and management are the foremost goal to prevent this life-threatening condition. A combined multidisciplinary approach should be opted for the management of abdominal ectopic pregnancy and laparoscopy has a miraculous approach to diagnosing and treating abdominal pregnancy.