An Unusual Presentation of Abdominal Pregnancy Managed by Laparoscopy

Abstract

The uncommon diagnosis of abdominal pregnancy is made once per 10,000 births. About 1% of all ectopic pregnancies appear with a primary or secondary peritoneal implantation. To the authors' best knowledge, this is the first reported case of an early abdominal pregnancy with unusual pedunculated implantation, managed by operative laparoscopy. The most frequent preoperative misdiagnosis in this situation is tubal pregnancy. Improved recognition of ectopic pregnancy by quantitative β-human chorionic gonadotropin determination and transvaginal sonography followed by laparoscopy has led to earlier treatment of abdominal pregnancy, thus preventing possible complications of late presentations.