Ipsilateral ectopic pregnancy on tubal remnant after salpingectomy is rare and it is associated with mortality rates higher than other ectopic pregnancies. We present a case of a 38-years-old patient, gravida 4, nulliparous woman, with two spontaneous abortions and a previous right salpingectomy for a tubal pregnancy, that was referred to our hospital at 4+5 weeks of gestation for pelvic pain and spotting. After a confirmed diagnosis of recurrent ectopic pregnancy on tubal remnant, she performed a laparoscopy with removal of the right tubal remnant with the pregnancy, using for the first time in literature the Endoloop ligature.