Twin ectopic gestations are rare; the majority involve one or both fallopian tubes. The case presented is the first known report of a bilateral twin ectopic pregnancy of this type. The patient experienced a concurrent right broad ligament ectopic pregnancy along with a left interstitial pregnancy. Her history was significant for a left cornual resection eight years previously. This case is additionally noteworthy in that intraligamentous gestations are rare, while interstitial pregnancies following cornual resection are even more uncommon.