Expectant management of advanced abdominal pregnancy with successful outcome: A case report and literature review

Abdominal pregnancy is a rare form of ectopic pregnancy associated with increased maternal and perinatal risks. In low-resource countries, diagnostic challenges complicate management. Prompt diagnosis requires a high level of suspicion. We report a 34-year-old, G3P1A+1SA, referred as a suspected abdominal pregnancy. Despite several ultrasounds and clinical signs, the diagnosis was delayed until 29 weeks' gestation with a live fetus. She was managed conservatively. A live infant was successfully extracted via laparotomy at 32 weeks of gestation. This case highlights diagnostic delays and difficulties in abdominal pregnancy, even as ultrasound use increases in resource-limited settings.