Surviving fetus from a preterm abdominal pregnancy

Background: Abdominal pregnancy is a rare and severe form of ectopic pregnancy in which the embryo implants in the peritoneal cavity, rather than in the fallopian tubes, ovaries, or uterine ligaments. Based on the implantation site, abdominal pregnancy is classified into primary and secondary types. The clinical symptoms of abdominal pregnancy, as described in various references, are typically nonspecific. Combined with imaging is critical in establishing an early and accurate diagnosis. Objective: This is a case report of surviving fetus from a preterm abdominal pregnancy. Case: Herein we report on a case of a 30-year-old woman with a history of obstetrics G2P1A0 and a gestational age of 24-26 weeks with an abdominal pregnancy and managed successfully with an outcome of a live neonate weighing 800 grams and measuring 30 cm in length. Surgery was the treatment of choice for the patient. Two laparotomies were performed on the patient. The first operation was to deliver the fetus and the second operation was total hysterectomy and bilateral salpingectomy. Conclusion: Cases of fetuses surviving abdominal pregnancy are extremely rare, compounded by the fact that the fetus is often preterm and not viable for delivery. Regular antenatal check-ups combined with imaging are crucial for making an early and accurate diagnosis, allowing for timely management adjustments and preventing further deterioration of both maternal and fetal conditions.