Tubal gestation can be complicated with rupture and in some instances lead to death, especially in cases with coexisting psychosocialhealth factors as was seen in the index case. We report a case of a twenty-five (25) year old lady with her last menstrual period occurring ten (10) weeks prior to sudden onset of severe lower abdominal pain which made herimmediately proceed to an unapproved medical centre been managed by an unlicensed drug dispenser for medications for a period of two (2) days.On the second day, she was advised by her friends to seek proper medical attention elsewhereand she opted for aGovernment owned Hospital located two hundred (200) metres away from her residence when compared to the unapproved medical centre she was initially receiving medications in. She arrived the emergency unit of the Government owned Hospital by an ambulance andon examination she was afebrile, conscious and severely pale. She died prior to the onset of the surgery and few minutes after admission. The autopsy examination showed corpus luteum of pregnancy, ruptured left tubal gestation, massive hemoperitoneum and acute tubular necrosis. The cause of death is massive hemoperitoneum secondary to ruptured left tubal gestation.