Tropical Journal of Obstetrics and Gynaecology

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A case report of a successfully managed advanced abdominal pregnancy with favorable fetomaternal outcomes

G.E. Osanyin, K.S. Okunade, B.A. Oye‑Adeniran


An abdominal pregnancy can be regarded as a form of an ectopic pregnancy where the embryo or fetus is growing and developing outside the uterus but within the abdominal cavity. While it is a very rare occurrence, abdominal pregnancies have a higher chance of maternal mortality, perinatal mortality, and morbidity compared to normal and ectopic pregnancies, but on occasion, a healthy viable infant can be delivered. We presented the case of a 40‑year‑old gravida 8 para 4+3 (4 alive) woman with intra‑abdominal pregnancy who was first seen at 29 weeks’ gestation with a history of abdominal pain and ultrasonographic findings of a live intra‑abdominal fetus. She was managed conservatively till 34 weeks’ gestation and was subsequently delivered by laparotomy with favorable maternal and fetal outcomes. The case is reported to highlight the successful outcome in spite of the difficulties in diagnosis and management in a low‑resource setting.

Keywords: Ectopic pregnancy; laparotomy; perinatal mortality
AJOL African Journals Online