Professor, Department of Obstetrics and Gynecology, Fatima Memorial Hospital, Lahore, Pakistan,

Although it is a rare occurrence, abdominal pregnancy is associated with high rates of morbidity and mortality. Every 10,000 live births, an abdominal pregnancy occurs. We describe a case of an abdominal pregnancy that manifested at 17 weeks of gestation, was missed by earlier ultrasound reports until that point, and was ultimately identified as a missed abortion with placental haemorrhage. Abdominal pregnancy can show clinically in a variety of ways, and a strong index of suspicion is necessary to make the diagnosis. For an early diagnosis of the illness, ultrasound is helpful. There is debate on how to handle the placenta. Expectant management is generally advised. Although expectant treatment with prophylactic methrotrexate is sometimes recommended when the placenta is left behind

Keywords: pregnancy problems, abdominal pregnancy, ultrasound, and morbidity

Although it is a rare occurrence, abdominal pregnancy is associated with high rates of morbidity and mortality. The frequency varies greatly.

In respect to place of residence, level of prenatal care, and income in terms of health care and socioeconomic standing.

It is thought that more abdominal pregnancies occur in poorer nations.Most likely as a result of the frequent pelvic inflammatory illness in these region[2].

The chance of death from abdominal pregnancy costs 7.7 times as much as a tubal pregnancy and 90 times as much as a pregnancy inside the womb[3,4]. The frequency of stomach pain One in 10,000 live births is a pregnancy[5].

Mother's mortality may be brought on by bleeding, infection, toxaemia, anaemia, or widespread the pulmonary embolism, intravascular coagulation, or the creation of a fistula between the gut and the amniotic sac caused by foetal bone penetration[6,7. Which pathogenesis is exact

a pregnant woman in her 31st year, who has been married for five years and was G5P0A4 at 17 weeks, arrived at Fatima's emergency room.Lower abdomen pain complaint brought to Memorial Hospital in Lahore 3 days of agony with palpitations, dyspnea, and simple fatigue for the past day. She had been experiencing normal prenatal appointments with a local physician in Narowal until this point and all Her records, including those from the initial inquiries, were normal.with two ultrasounds performed up until this point, which revealed an intrauterine pregnancy that was normal and intact.Patient received a thorough evaluation. When examined, she was significant tachycardia with a pulse and a pale complexion of 100/60 mm Hg and 110 b/m. according to an abdominal exam indicated an abdomen that was sensitive and stiff, with a fundal height of 18 weeks, although the foetal components were

Despite being a rare occurrence, abdominal pregnancy is associated with severe maternal morbidity and mortality. The incidence varies significantly by geographic region, level of Prenatal attendance, medical care received, and socioeconomic status

However, Allibone et al.have offered suggestions for abdominal pregnancy diagnosis with ultrasonography,In various series, reported diagnostic errors have varied as it was in this instance, where the diagnosis ranged from 50% to 90%12 First and second trimester ultrasounds were missed. It is typically, the abdominal pregnancy is more easily understood at the at the conclusion of the first trimester or the beginning of the second It is easiest to picture the pelvic organs.3 maternal death rate ranges from 2 to 30%, and early payment can lower it diagnosis

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Ambreen A. A Diagnostic Challenge in Abdominal Ectopic Pregnancy. Insights Journal of Obstetrics And Gynecology 2022.