ABDOMINOCYESIS-SECONDARY ABDOMINAL PREGNANCY

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.