A Rare Case of Secondary Abdominal Pregnancy

We report a case of second gravida with one living issue with undiagnosed secondary abdominal pregnancy admitted in our hospital in shock. Screening USG showed a normal uterus with a live fetus of 16 week 2 days gestation lying in abdominal cavity. Emergency laparotomy done with extraction of fetus and placenta with left salpingectomy, with left partial oophorectomy, with left partial omentectomy. Beta HCG returned to normal after 3 weeks with complete resorption of placenta in USG in one month. This case stresses the importance of regular ante natal check up with early diagnosis and prompt management of abdominal pregnancy which otherwise may lead to maternal morbidity and mortality.