Secondary abdominal ectopic pregnancy

Abdominal ectopic pregnancy is a rare form of ectopic pregnancy. It accounts for 1.4% of these cases, with significant morbidity and mortality. We present the case of a 24-year-old woman with secondary abdominal pregnancy, diagnosed after 5 days of unresponsive management of missed abortion. During laparotomy, hemoperitoneum and the presence of a suprauterine chorioamniotic cocoon were found. Complete removal of the fetus and placenta was performed, preserving the uterus and left adnexa. Despite the rarity, early diagnosis by ultrasound was crucial. Surgical management, often necessary, was challenging, but in early cases such aa ours, complete removal can avoid further complications. The importance of early recognition and management of secondary abdominal pregnancy is emphasized.