Secondary abdominal pregnancy

Abstract

Abdominal pregnancy is an extremely rare occurrence represent 1.4% of ectopic pregnancy. We present a case of a 30 year old lady, Gravida 3 Para 2 with 22 weeks gestation who attended our hospital with abdominal pain. She had a history of amenorrhoea for 4 months and pregnancy was confirmed for which she underwent medical termination of pregnancy (MTP) by a quack. Later, she developed abdominal pain and vaginal bleeding. Ultrasound revealed a nonviable abdominal pregnancy and fetal demise. On laparotomy, a dead fetus was found in the peritoneal cavity and placenta densely adherent to the anterior surface of the uterus. Fetus was extracted and placenta was retained. Abdominal pregnancy after tubal sterilization and being further missed during MTP is an exceptionally rare event. Sonographic confirmation of intrauterine pregnancy at the time of performing medical or surgical abortion will help to prevent the missed or delayed diagnosis of such life threatening events.