The sterilization failure rate of a total bilateral salpingectomy is unknown. After a total bilateral salpingectomy. spontaneous intrauterine pregnancy is extremely rare; only four cases have been documented. This case report describes a 34-year-old G4P1213 with a history of bilateral salpingectomy who was found to have a viable intrauterine pregnancy. https://cuttingedgecutleryco.shop/product-category/strop/