Ectopic pregnancy is an implantation of a fertilized egg outside the uterine cavity. It is a public health problem especially in developing countries. It is a pathology that faces many challenges in these countries, especially in its diagnosis, its management and its follow-up. All these challenges associated with a late consultation exposes the risk of discovery of a serious form and thus jeopardizes the vital pronistic of the pregnant woman. We report in this work, the difficulties in the diagnosis, in the management, in the follow-up as well as the major risk factors, of a case followed in the city of Uvira within the General Hospital of Kasenga. The main limits encountered are: difficulty in the diagnosis due to the lack of a less complete technical platform and low economic means of our population, the technique of taking remains optimal whatever the procedure used, the post-treatment follow-up still causes a challenge given the plateau technical, non-collaboration of the patient; infections remain permanent and constitute the main risk factor. These observations remain similar for all the other patients with ectopic pregnancy who come to our hospital for consultation. And therefore the sensitization of the population for an early consultation and the prevention of risk factors would be important. These data should also encourage the political and health authorities to provide this structure with an adequate technical platform for the diagnosis and monitoring of this deadly pathology.