Advanced Abdominal Pregnancy: The Challenges of Management

Abstract

Advanced abdominal pregnancy is a rare form of ectopic pregnancy with a high morbidity and mortality rate for both mother and fetus. It is usually seen in low resource setting where antenatal care attendance is poor resulting in late presentation and often with complications. While diagnosis can present a puzzle, a high index of suspicion is important. The management is challenging especially when undiagnosed. A case of an unbooked abdominal pregnancy that presented at 31 weeks 2 days’ gestational age which resulted in a live female newborn with severe hydrocephalus at a tertiary hospital in North‑central Nigeria is presented.

Keywords: Abdominal pregnancy, congenital anomalies, ectopic, placenta