The coexistence of intrauterine and extrauterine gestation is a somewhat rare obstetric phenomenon thought to occur in 1 of 30,000 spontaneous pregnancy. Recently, Assisted reproductive technology such as IVF and ET are increasingly common in the management of infertility. There is a higher maternal morbidity and fetal loss due to delayed or missed diagnosis, so a combined pregnancy is guite difficult to diagnosis clinically. We experienced a case of intrauterine pregnancy coexisting with right tubal pregnancy as combined pregnancy in 24 year old iparous woman, so we reported this case with a brief review of the literature.