Abstract: Abdominal pregnancy is a rare occurrence. It is more common in countries with low socioeconomic levels and limited medical resources. It is defined as the implantation and development of the fertilized egg partially or wholly within the peritoneal cavity. The physical and para-clinical examinations concluded to abdominal pregnancy with echography term of 33 gestational weeks+ 4 days, and fetal weight of 2137 g with adnexa inserted in the fundus of uterus in the right side and malformation in the feet. Corticoid has been given.
We reported a case of abdominal pregnancy diagnosed in women of 20 years primipara complaining of abdominal pain. Examination diagnosed an abdominal pregnancy with 33 gestational week 4 days. Laparotomy was performed at 35 gestational, per operative findings were: an intraperitoneal fetus with adnexa adherent to the right uterine adnexa. The procedure consisted of extracting a live fetus with poly malformation and weight of 2610 g. placenta was inserted in the fundus and the right adnexa and important bleeding. In front of this case, we decided and performed the removal of placenta and the right adnexa. a right adnexectomy. The patient was discharge at the 5th days post operative. The monitoring of beta HCG was performed until a years after negative beta HCG.
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