Advanced Abdominal Ectopic Pregnancy with Subsequent Fetal and Placental Extraction: A Case Report

Abdominal ectopic pregnancy (AEP) occurs within the peritoneal cavity, outside the genital organs (uterus, tubes, ovaries). It is an unusual condition with an incidence that varies from 1:10,000 to 1:30,000 of all pregnancies worldwide. A 38-year-old primigravid patient was diagnosed in the second trimester with AEP. Pregnancy reached 35.6 gestational weeks, and the patient underwent surgery via laparotomy for extraction of the live fetus. Complete removal of the placenta was performed without maternal or fetal complications. AEP is an important cause of maternal and fetal death; the mortality rate in pregnant women with AEP is approximately 1–18%. Surgical intervention to deliver a baby in cases of AEP requires a multidisciplinary team, especially in countries with limited therapeutic options.