Uncommon case of abdominal pregnancy with spontaneous uterine rupture at 35 weeks

Abstract

Abdominal pregnancy is a rare form of ectopic pregnancy and is frequently misdiagnosed. Here, we report a case of abdominal pregnancy with spontaneous uterine rupture of the cesarean-section scar at 35 weeks. A 26-year-old Moroccan woman, G2P2, with a previous caesarean section, was presented to the hospital at 35 weeks of pregnancy with the chief complaint of abdominal pain and vaginal bleeding. Ultrasonography identified the term of an abdominal pregnancy without fetal cardiac activity. An abdominal computed tomography was confirmed the diagnosis of abdominal pregnancy with hemoperitoneum. An emergency laparotomy was performed. The dead male fetus was extracted uneventfully. The placenta which was developed through the cesarean-section scar, was attached to intestines and it was removed with great caution and secured haemostasis. The exploration was showed a complete rupture of the cesarean-section scar which was sutured in two layers. The patient was transfused with 2 units of packed red blood cells, and she was discharged from the hospital on the 10th postoperative day. The abdominal pregnancy is an extremely rare diagnosis. The suspicious case of abdominal pregnancy should be referred to the experienced clinicians in the centres with diagnosis facilities.