Abdominal Ectopic Pregnancy with a Living Fetus in Multiparas at 31 Weeks of Gestational age

Ectopic pregnancy is a condition in which the gestational sac is outside the uterine cavity, and is the most lifethreatening emergency condition in early pregnancy. Ectopic pregnancy causes 28% of maternal deaths in the world. The incidence of ectopic pregnancy increased from 1.4% to 2.2% of live births. Abdominal pregnancy is one of the classifications of ectopic pregnancy. Abdominal pregnancy is defined as a pregnancy in which implantation occurs in the abdominal cavity without involving the fallopian tube, ovary or intraligamentary implantation. The incidence is 1:402 pregnancies in developing countries and 1:10000 pregnancies in developed countries. Abdominal pregnancy occurs as a result of uterine rupture or tubal abortion (secondary abdominal pregnancy) or less commonly as a result of direct implantation of the peritoneum with normal fallopian tubes, normal ovaries and absence of tubal fistulas (abdominal primary pregnancy). We report a case of a 22-year-old woman with an abdominal pregnancy at 31 weeks' gestation and a live fetus was found but the mother was anemic with a hemoglobin value of 6.6 g%, requiring a transfusion of 4 blood bags. The patient's condition improved 3 days postoperatively with close monitoring in the Intensive Care Unit (ICU)