ABDOMINOCYESIS-SECONDARY ABDOMINAL PREGNANCY

Abstract

We report on an abdominal pregnancy
that presented as an ectopic pregnancy
with right ovarian cyst to our Govt RSRM
hospital which actually turned out to be a
secondary abdominal pregnancy and review
the literature on the management of
abdominal pregnancy. The clinical presentation
of abdominal pregnancy varies,
and the diagnosis requires a high index
of suspicion. Ultrasonography is useful
for early diagnosis of the condition. The
management depends on the gestational
age at presentation. The treatment of the
placenta is a matter of controversy. In
general, expectant management is suggested.
In majority placenta gets absorbed.
Whether to start methotrexate is
also under debate. An awareness of abdominal
pregnancy is very important for
reducing associated morbidity and mortality.