Conclusion
Abdominal pregnancy is a rare type of ectopic gestation which remains a diagnostic challenge. Of concern is the high maternal and perinatal morbidity and mortality, especially at advanced gestations. The diagnosis may be missed despite early ultrasound and requires a high index of suspicion and a skilled sonologist for timely diagnosis. MRI is a useful adjunct when the ultrasound is inconclusive. Early surgical intervention is imperative to decrease complications and improve outcomes. It is essential to ensure the availability of adequate blood and blood products as hemorrhage in these cases can be sudden and massive. Surgery remains the mainstay of management and medical methods are not usually successful. However, the rarity of this condition and the myriad presentations preclude sound recommendations to be made.