ABDOMINAL PREGNANCY

Background and Objectives: A case of advanced abdominal pregnancy, diagnosed at 30 weeks gesta-tion by ultrasonograpy is presented. A 25 year old, G2P0+1 presented at 30 weeks of gestation with abdominal pain. Abdominal pregnancy was diagnosed by ultrasound scan. It was a primary abdominal pregnancy, confirmed by Studdiford criteria. Methods: Laparotomy was carried out, baby was lying transversely with head on left side and placenta adherent to posterior uterine wall, bowel loops and anterior abdominal wall. The baby was taken out and Placenta was left insitu. Results: The patient started fever on 5th post operative day which was settled with change of antibiotic. On 40th post operative day signs of abdominal distension developed. 2nd look laparotomy was perfor-med, placenta was removed. Patient condition was satisfactory at the time of discharge. Conclusion: Ultrasound examination is the usual diagnostic procedure of choice to diagnose abdominal pregnancy. In addition magnetic resonance imaging can be useful to localize the placenta preopera-tively.