Publication:

A term live advanced abdominal pregnancy: a rare case report

Advanced abdominal pregnancy is a rarely encountered entity. Extra uterine ectopic pregnancy is frequently missed in antenatal period. Here, we report a case of live secondary abdominal pregnancy in a primigravida with period of 37 weeks of gestation. The diagnosis was missed in antenatal period despite regular antenatal check-ups and ultrasound. Patient was managed by exploratory laparotomy, the foetus was extracted out and the placenta was left in situ. Rest of the post-operative period was uneventful. The new born expired in neonatal ward after 24 hours due to hypoplastic lungs. Patient was followed up by serial serum β HCG values and serial ultrasonography of maternal abdomen. β HCG was negative in three months. Patient is still in follow up period.