Abstract
Abdominal pregnancy is a rare form of ectopic pregnancy, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies. It is classified as primary or secondary depending on the site of fertilization. However, when it does happen, it may remain unnoticed until term because the pregnancy can appear normal during clinical examination. Advanced abdominal pregnancy is associated with high mortality rate for both the mother and the baby at 1-20% and 40-95% respectively. We report a case of a 30-year-old female para 2+0, gravida 3 at 35+1 who presented at a Tertiary facility in Eldoret Kenya with one-day history of per vaginal bleeding and 2 weeks' history of no fetal movements. The importance of this case report is to highlight the challenges associated with diagnosis of advanced abdominal pregnancy in low resource settings. Ultrasound alone cannot be relied on to make the diagnosis. Whenever an induction is not working, abdominal pregnancy should be considered.
Highlights
Abdominal pregnancy is rare form of ectopic, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies
Advanced abdominal pregnancy can be discovered during elective Cesarean section [4]
Advanced abdominal pregnancy is associated with high mortality rate for both the mother and the baby at 1-20 % and 4095% respectively [6]
Summary
Abdominal pregnancy is rare form of ectopic, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies It is classified as primary or secondary depending on the site of fertilization [1]. It is frequently missed in routine antenatal care When it does happen, it may remain unnoticed until term because the pregnancy can appear normal in examination. Due to its unique presentation, case reports are still important to improve diagnosis and management of advanced abdominal pregnancy. The fundal height was 30 weeks, cephalic presentation, No fetal heart rate. The cystic mass was separated by blind dissection from the anterior abdominal wall, the mesentery and the greater omentum. Bilateral partial salpingectomy was done since both the fallopian tubes were tightly adherent to the mass
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