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In this case report, we present a case of a hitherto undescribed ''pseudoembryo'' appearance in a fluid-filled endometrial cavity in ectopic pregnancy.Knowledge of this sonographic finding is clinically important, since the presence of a ''pseudoembryo'' could lead to the misidentification of a pseudogestational sac as an intrauterine pregnancy in the setting of ectopic pregnancy.This paper discuss reviews the pseudogestational sac and imaging findings which differentiate it from a true intrauterine gestation. Keywords: Pseudoembryo, Pseudogestational sac, Ectopic pregnancy, Fetus