Bilateral tubal ectopic pregnancy is a very rare form of extra-uterine pregnancy with high maternal morbidity and mortality if intervention is delayed. We report the case of a 27-year-old para 2 gravida 3 patient who presented in haemorrhagic shock after delayed diagnosis of ectopic pregnancy. An ultrasound scan noted a right tubal ectopic pregnancy. At laparotomy, bilateral ruptured tubal ectopic pregnancy was encountered and bilateral salpingectomy was done as both tubes were not salvageable. She recovered completely postoperatively and histology confirmed bilateral tubal ectopic pregnancies. Bilateral tubal ectopic pregnancy may not be easily diagnosed on a scan; hence vigilance at surgery is critical to prevent maternal mortality.