Abdominal pregnancy with live birth in the third trimester

Abdominal pregnancy is a rare form of ectopic pregnancy, accounting for 0.1% of all pregnancies. This condition is associated with unfavorable outcomes due to the difficulty of diagnosis and the lack of standardized management strategies. This article describes a case of abdominal pregnancy resulting in live birth. The patient had been under antenatal observation from the early stages of pregnancy. Routine ultrasound examinations performed at standard gestational ages described a developmental anomaly (bicornuate uterus) as well as signs of placenta previa. In accordance with clinical routing, the patient stayed in a tertiary obstetric hospital from week 33 of gestation. On day 7 of inpatient care, she complained of girdle-like, dull epigastric pain and nausea. Instrumental and clinical-laboratory assessment established an additional diagnosis of chronic pancreatitis in incomplete remission. The patient was transferred to a multidisciplinary regional clinical hospital. The next day, a follow-up obstetric ultrasound revealed a decrease in the amniotic fluid index to 0 mm. Considering the absolute oligohydramnios, complete placenta previa, and placenta accreta, urgent cesarean delivery was performed. Intraoperatively, the diagnosis of abdominal pregnancy was established. A live preterm female infant was delivered.