ABSTRACT
Background: Abdominal pregnancy is a rare ectopic pregnancy in
which the baby grows up in the peritoneal cavity exclusive of tubal, ovarian,
or intraligamentary implantations. Abdominal pregnancy has very high maternal
and fetal morbidity and mortality. Therefore, early recognition and prompt
management remain challenges for the treating physician. A thorough examination
of the newborn is critical to rule out congenital anomalies. We reported a
24-year-old woman primigravida 40 weeks post-date with spontaneous conception
who was admitted to the hospital with complaints of diffuse abdominal pain,
symptoms, and signs of severe preeclampsia (headache, vomiting, high blood
pressure, blurred vision, and swelling of the feet, ankles, face, and hands).
Moreover, she had recurrent vaginal spotting, nausea, loss of appetite, and
occasional vomiting. She was diagnosed with a progressive abdominal pregnancy
later. A live male fetus stained with meconium was removed from the abdominal
cavity, and the placenta was completely removed without significant blood loss. Conclusion: Abdominal pregnancy is a rare ectopic pregnancy requiring high clinical suspicion, early
identification, and prompt management to avoid maternal morbidity and
mortality. Abdominal pregnancy can be prevented by avoiding miscarriage and
treating adhesions and chronic inflammatory diseases.