Cervical ectopic is a life-threatening gynaecological emergency. It is highly prone to severe hemorrhage with maternal morbidity and mortality. It has an incidence of 1% and requires prompt diagnosis. Management is usually individualized and depends on gestational age, presentation severity and the available options and expertise. It could be medical, surgical endoscopically or a combination of treatment. A cervical ectopic in a 32-year-old nullipara who had a negative exploratory laparotomy on account of missed cervical ectopic and later a failed medical management with methotrexate. She subsequently had a dilatation and curettage under spinal anesthesia followed by medical management with repeat three doses of systemic methotrexate due to persistent haemorrhage. She was monitored with a serial level of beta human chorionic gonadotrophins until normal level was attained. Cervical ectopic is a rare form of ectopic gynaecological health workers need to have a high index of suspicion in making diagnosis and prompt intervention instituted. Though there is no standard management protocol, combination therapy of available management options has proven to be effective.