Successful Management of Rare Advanced Abdominal Pregnancy with Severe Preeclampsia: A Case Report and Literature Review

Background: Abdominal pregnancy is a rare ectopic pregnancy in which the baby grows up in the peritoneal cavity exclusive of tubal, ovarian, or intraligamentary implantations. Abdominal pregnancy has very high maternal and fetal morbidity and mortality. Therefore, early recognition and prompt management remain challenges for the treating physician. A thorough examination of the newborn is critical to rule out congenital anomalies. We reported a 24-year-old woman primigravida 40 weeks post-date with spontaneous conception who was admitted to the hospital with complaints of diffuse abdominal pain, symptoms, and signs of severe preeclampsia (headache, vomiting, high blood pressure, blurred vision, and swelling of the feet, ankles, face, and hands). Moreover, she had recurrent vaginal spotting, nausea, loss of appetite, and occasional vomiting. She was diagnosed with a progressive abdominal pregnancy later. A live male fetus stained with meconium was removed from the abdominal cavity, and the placenta was completely removed without significant blood loss. Conclusion: Abdominal pregnancy is a rare ectopic pregnancy requiring high clinical suspicion, early identification, and prompt management to avoid maternal morbidity and mortality. Abdominal pregnancy can be prevented by avoiding miscarriage and treating adhesions and chronic inflammatory diseases.