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.