The role of magnetic resonance imaging in fertility-sparing surgical management of abdominal pregnancy: A case report

Abdominal ectopic pregnancies are rare and carry high maternal morbidity and mortality rates. Patients may be asymptomatic, or they may have nonspecific abdominal pain. Due to their rarity and heterogeneity in presentation, management decisions are not straightforward. There are no universally agreed recommendations regarding the role of magnetic resonance imaging (MRI), and although surgical management is the most common choice, there is a paucity of evidence to support the role of medical alternatives or adjuncts. This report concerns the case of an asymptomatic patient with an abdominal pregnancy that was initially misdiagnosed as an intrauterine pregnancy. It highlights the utility of pelvic MRI in surgical planning and features a review of management options. Key images from the patient's ultrasound, MRI, and surgery are included.