Advanced secondary abdominal pregnancy

Abstract

In secondary abdominal pregnancy, due to poor placentation and poor decidual reaction, the placenta may invade and erode maternal vessels. Pregnancy may terminate at any time resulting in massive intraperitoneal bleeding. Clinical findings were bulky uterus at 6 months of gestation with enlarged abdomen and haemoperitoneum; possible diagnosis of secondary abdominal pregnancy was confirmed by ultrasound. We were able to prevent maternal loss by prompt diagnosis and management.