Expectant Management of an Abdominal Pregnancy Diagnosed at 18 Weeks: A Case Report

A years old G P patient presented at weeks of gestation with abdominal pain and vomiting A transabdominal ultrasound at admission showed a single live fetus according to gestational age while a transvaginal sonographic examination revealed a normal uterus without an intrauterine gestation Due to the suspicion of an abdominal pregnancy the patient was admitted for further study A magnetic resonance imaging confirms an extrauterine abdominal pregnancy and established placental implantation blood supply and abdominal organs compromise Together with the patient and a multidisciplinary team an expectant management was decided Serial ultrasound assessments were performed to evaluate fetal condition as well as serial MRI to exclude any intra abdominal organ compromise A laparotomy was performed for fetal extraction at weeks of gestation without complications leaving the placenta in situ The patient and newborn had a successful postnatal evolution This report provides evidence that the expectant management of an abdominal pregnancy diagnosed early in pregnancy is feasible