Unrecognized abdominal pregnancy with six months' evolution revealed by acute intestinal obstruction in women with PCOS.

Abdominal pregnancy is a rare form of ectopic pregnancy where implantation and development of the egg take place in the peritoneal cavity outside the tubo-uterine mucosa, in contact with intestinal loops. Diagnosis is most often difficult. We report the case of a 32-year-old woman (gravida 1, para 1), with a history of PCOS, diagnosed with abdominal pregnancy at 20 weeks of amenorrhea complicated by acute intestinal obstruction. Diagnosis was confirmed by abdomino-pelvic scan. Surgery was performed with the patient under general anesthesia. She presented a macerated fetus with an infiltration of the placenta causing a perforation of the sigmoid colon and uterus. Hartmann's procedure was performed and the perforation of the uterus was sutured. Abdominal pregnancy remains a rare variety of ectopic pregnancy. Preoperative diagnosis is difficult due to the presence of a variety of non-specific symptoms. This type of ectopic pregnancy remains challenging for gynecologists and radiologists.

A case report of a successful multidisciplinary management of an abdominal pregnancy / Manejo multidisciplinario exitoso del embarazo abdominal. Reporte de un caso peruano

Abdominal pregnancy is defined as one that occurs outside of the uterus and fallopian tubes in the abdominal cavity. We present the case of a 30-year-old Peruvian female patient from Lima with a surgical history of exploratory laparotomy due to tubal ectopic pregnancy and appendectomy without further relevant personal or family histories. She attended the emergency room of a social security hospital in Peru with a referral from a district hospital and a diagnosis of abdominal pregnancy at 14 weeks of gestational age without previous prenatal controls. Symptomatology at hospital admission was colic-type abdominal pain in the hypogastrium without vaginal bleeding, fluid loss or fever. During hospitalization, she underwent an exploratory laparotomy with embolization of the uterine artery, left salpingectomy, and removal of the abdominal ectopic pregnancy. The evolution was favorable after the surgery, and she was discharged. Without further complications, she continues her controls at the obstetrics and gynecology outpatient service without complications.

El embarazo abdominal es aquel embarazo que ocurre fuera del útero y las trompas de Falopio en la cavidad abdominal. Presentamos el caso de una paciente peruana de 30 años proveniente de la ciudad de Lima, con antecedentes quirúrgicos de laparotomía exploradora por embarazo ectópico tubárico y apendicectomía, sin otras patologías ni antecedentes familiares de importancia. La paciente acude al servicio de urgencias de un hospital del seguro social en Perú derivada de un hospital distrital con diagnóstico de embarazo abdominal a las 14 semanas de edad gestacional, sin controles prenatales previos. La sintomatología al ingreso hospitalario fue dolor abdominal de tipo cólico a nivel del hipogastrio, sin sangrado vaginal, pérdida de líquidos o fiebre. Durante su hospitalización se le realizó una laparotomía exploratoria con embolización de la arteria uterina, salpingectomía izquierda y extracción del embarazo abdominal. La evolución fue favorable tras la intervención quirúrgica, siendo dada de alta. Actualmente continúa sus controles en el servicio de consulta externa del servicio de ginecología y obstetricia sin complicaciones.

A case report of a successful multidisciplinary management of an abdominal pregnancy.

Abdominal pregnancy is defined as one that occurs outside of the uterus and fallopian tubes in the abdominal cavity. We present the case of a 30-year-old Peruvian female patient from Lima with a surgical history of exploratory laparotomy due to tubal ectopic pregnancy and appendectomy without further relevant personal or family histories. She attended the emergency room of a social security hospital in Peru with a referral from a district hospital and a diagnosis of abdominal pregnancy at 14 weeks of gestational age without previous prenatal controls. Symptomatology at hospital admission was colic-type abdominal pain in the hypogastrium without vaginal bleeding, fluid loss or fever. During hospitalization, she underwent an exploratory laparotomy with embolization of the uterine artery, left salpingectomy, and removal of the abdominal ectopic pregnancy. The evolution was favorable after the surgery, and she was discharged. Without further complications, she continues her controls at the obstetrics and gynecology outpatient service without complications.

El embarazo abdominal es aquel embarazo que ocurre fuera del útero y las trompas de Falopio en la cavidad abdominal. Presentamos el caso de una paciente peruana de 30 años proveniente de la ciudad de Lima, con antecedentes quirúrgicos de laparotomía exploradora por embarazo ectópico tubárico y apendicectomía, sin otras patologías ni antecedentes familiares de importancia. La paciente acude al servicio de urgencias de un hospital del seguro social en Perú derivada de un hospital distrital con diagnóstico de embarazo abdominal a las 14 semanas de edad gestacional, sin controles prenatales previos. La sintomatología al ingreso hospitalario fue dolor abdominal de tipo cólico a nivel del hipogastrio, sin sangrado vaginal, pérdida de líquidos o fiebre. Durante su hospitalización se le realizó una laparotomía exploratoria con embolización de la arteria uterina, salpingectomía izquierda y extracción del embarazo abdominal. La evolución fue favorable tras la intervención quirúrgica, siendo dada de alta. Actualmente continúa sus controles en el servicio de consulta externa del servicio de ginecología y obstetricia sin complicaciones.

A 27-Year-Old Brazilian Woman with a History of Left Salpingectomy and Late Diagnosis of an Extra-Uterine Intra-Abdominal Pregnancy and Live Birth at 26 Weeks' Gestation.

BACKGROUND Abdominal pregnancy is a special type of ectopic pregnancy, characterized by implantation of the embryo in the peritoneal cavity, with tubal, ovarian, and intraligamentary pregnancies excluded, accounting for approximately 1% of all cases. It was first reported in 1708 after an autopsy and since then numerous cases have been reported, with a current incidence of 1: 10 000 to 1: 30 000 pregnancies. CASE REPORT We report the case of a 27-year-old woman, resident of the city of Caxias do Sul, Brazil, with an extra-uterine pregnancy by ultrasound diagnosis at 25 weeks and 1 day of gestational age and a live fetus. CONCLUSIONS Abdominal gestation is a rare type of ectopic pregnancy and is characterized as a life-threatening situation. Its biggest challenge is to make an early diagnosis, since most cases go unnoticed at the ultrasound performed in the first trimester, and when symptomatic, they do not present themselves in a specific way. When necessary, MRI has been shown to greatly elucidate such cases. Moreover, the therapeutic decision also presents some disparities in the literature. Although it is known that open surgery is best option, there are still many doubts regarding whether to perform placental extraction since its removal process can cause abundant bleeding, putting the patient at risk during the surgical procedure, in the same way that its maintenance and the use of drug treatment can also aggravate the patient's clinical picture.

Embarazo ectópico abdominal. Presentación de un caso y revisión de la literatura / Gravidez ectópica abdominal. Apresentação de caso e revisão de literatura / Abdominal ectopic pregnancy. Case report and literature review

Introducción: el embarazo ectópico es una de las afecciones que más incrementan la morbilidad y la mortalidad maternas. La incidencia varía de 1:40 a 1:100 embarazos. Se caracteriza por la implantación del embrión dentro de la cavidad peritoneal, por fuera de la trompa de Falopio, el ovario y el ligamento ancho del útero. Objetivo: familiarizar a los médicos generales timorenses con las características clínicas, la etiopatogenia y el diagnóstico y el manejo de esta condición obstétrica. Método: se presentó un caso clínico de embarazo ectópico abdominal atendido por un equipo multidisciplinarios de profesionales cubanos colaboradores en el Hospital Referal Maubisse (República Democrática de Timor Leste). Se revisó la literatura sobre el tema en bases de datos electrónicas (SciELO, ClinicalKey, RedALyC, Scopus, PubMed, Clinical Evidence, Cochrane). Se realizó una selección por título y resumen por los tres autores, en caso de encontrar una diferencia se sometió a un cuarto evaluador. Resultados: el examen clínico y la ultrasonografía abdominal posibilitaron el diagnóstico de embarazo ectópico abdominal con feto muerto. Se realizó laparotomía y se encontró un feto de 17 semanas en estado de momificación y maceración aséptica, ubicado en el fondo de saco de Douglas. Fue posible la extracción completa del tejido placentario sin complicaciones transoperatorias y evolución satisfactoria. Conclusiones: el cuadro clínico es inespecífico y aunque se reconoce el valor diagnóstico de la ecografía abdominal, al no existir signos específicos y ante la ausencia de imágenes ultrasonográficas características, se hace indispensable una laparotomía exploradora(AU)

Introduction: Ectopic pregnancy is one of the conditions that most increase maternal morbidity and mortality. The incidence varies from 1:40 to 1: 100 pregnancies. It is characterized by implantation of the embryo into the peritoneal cavity, outside the fallopian tube, the ovary and the broad ligament of the uterus. Objective: to familiarize Timorese general practitioners with the clinical characteristics, etiopathogenesis and diagnosis and management of this obstetric condition. Method: A clinical case of abdominal ectopic pregnancy was presented attended by a multidisciplinary team of Cuban professionals collaborating at the Hospital Referal Maubisse (Democratic Republic of Timor Leste). Literature on the subject was reviewed in electronic databases (SciELO, ClinicalKey, RedALyC, Scopus, PubMed, Clinical Evidence, Cochrane). A selection was made by title and summary by the three authors, in case of finding a difference it was submitted to a fourth evaluator. Results: the clinical examination and abdominal ultrasonography made it possible to diagnose abdominal ectopic pregnancy with dead fetus. Laparotomy was performed and a 17-week fetus was found in a state of mummification and aseptic maceration, located at the bottom of Douglas's sac. It was possible the complete extraction of the placental tissue without transoperative complications and satisfactory evolution. Conclusions: the clinical picture is nonspecific and although the diagnostic value of abdominal ultrasound is recognized, as there are no specific signs and in the absence of characteristic ultrasound images, an exploratory laparotomy is essential(AU)

Introdução: A gravidez ectópica é uma das condições que mais aumentam a morbimortalidade materna. A incidência varia de 1:40 a 1: 100 gestações. É caracterizada pelo implante do embrião na cavidade peritoneal, fora da trompa de Falópio, do ovário e do ligamento largo do útero. Objectivo: familiarizar os clínicos gerais timorenses com as características clínicas, etiopatogenia e diagnóstico e tratamento desta condição obstétrica. Método: Foi apresentado um caso clínico de gravidez ectópica abdominal, atendido por uma equipe multidisciplinar de profissionais cubanos que colaboraram no Hospital Referal Maubisse (República Democrática de Timor Leste). A literatura sobre o assunto foi revisada em bancos de dados eletrônicos (SciELO, ClinicalKey, RedALyC, Scopus, PubMed, Clinical Evidence, Cochrane). Uma seleção foi feita por título e resumo pelos três autores; no caso de encontrar diferença, foi submetida a um quarto avaliador. Resultados: o exame clínico e a ultrassonografia abdominal possibilitaram o diagnóstico de gravidez ectópica abdominal com feto morto. Foi realizada laparotomia e um feto de 17 semanas foi encontrado em estado de mumificação e maceração asséptica, localizado no fundo do saco de Douglas. Foi possível a extração completa do tecido placentário sem complicações transoperatórias e evolução satisfatória. Conclusões: o quadro clínico é inespecífico e, embora o valor diagnóstico da ultrassonografia abdominal seja reconhecido, pois não há sinais específicos e na ausência de imagens ultrassonográficas características, é essencial uma laparotomia exploradora(AU)

Embarazo ectópico abdominal, presentación de un caso y revisión de la literatura / Abdominal ectopic pregnancy: case report and literature review

ANECEDENTES El embarazo ectópico abdominal es raro; con baja incidencia y ausencia de sintomatología especifica que dificulta el diagnóstico y no existan criterios para el diagnóstico y tratamiento. OBJETIVO se presenta un caso de embarazo intra-ligamentario de 16 semanas de gestación y se hacer una revisión de la literatura sobre el manejo y comparación de los resultados. CASO CLÍNICO Mujer de 32 años de edad, gestas 3 partos 2; desconoce fecha de ultima menstruación; y control de la fertilidad con condón; acude por presentar dolor abdominal, sin datos de irritación peritoneal; se le realiza ultrasonido y se diagnostica embarazo de 16 semanas con muerte fetal; con sospecha embarazo abdominal; se realiza laparotomía exploradora para extracción fetal, dejando la placenta in situ, y manejo con metotrexate dejando la placenta in situ y egresado al tercer día sin complicaciones. CONCLUSIÓN el embarazo abdominal es raro, de difícil diagnostico; que requiere la extracción quirúrgica y dejar la placenta in situ y manejo adyuvante con metrotexate; reportándose buenos resultados; pero, existe escasa información sobre la fertilidad futura.

BACKGROUND The abdominal ectopic pregnancy is rare; with low incidence and absence of specific symptomatology diagnosis difficult and there are no criteria for the diagnosis and treatment. OBJECTIVE a case of intra-ligament 16 weeks of gestation pregnancy occurs and a review of literature on the handling and comparison of results is done. CASE REPORT Female 32 years old, deeds 3 births 2; known last menstrual period; and fertility control with a condom; comes because of abdominal pain without peritoneal irritation; Ultrasound was performed 16 weeks pregnant and diagnosed with fetal death; abdominal suspected pregnancy; laparotomy for fetal extraction is performed, leaving the placenta in situ, and leaving management methotrexate placental site and discharged on the third day uncomplicated. CONCLUSION abdominal pregnancy is rare, difficult to diagnose; requiring surgical removal and leave the spot and adjuvant use with methotrexate placenta; good results being reported; but there is little information on future fertility.

[Abdominal ectopic pregnancy. A case report and literature review]. / Embarazo ectópico abdominal. Reporte de un caso y revisión de la bibliografía.

Abdominal ectopic pregnancy is an extremely rare entity, which represents 1% of all ectopic pregnancies and is associated with high maternal and fetal morbidity and mortality. The maternal mortality risk of an abdominal ectopic pregnancy is seven to eight times greater than the risk of a tubal ectopic pregnancy and is 90 times greater than the risk of intrauterine pregnancy. This is a disease of difficult diagnosis that often takes place late. We report the case of a patient with an abdominal ectopic pregnancy, which was diagnosed by abdominal ultrasound in the second trimester; the patient was suc- cessfully treated with exploratory laparotomy with complete removal of the fetus and placenta. We provide a review of the literature on the risk factors for abdominal ectopic pregnancy, diagnostic tests and therapeutic options.

Embarazo ectópico abdominal: presentación de un caso / Abdominal ectopic pregnancy: a case report

El embarazo ectópico abdominal es una afección infrecuente, con muy pocos casos reportados en la literatura. Consiste en el implante del embarazo en algunas de las estructuras del abdomen por lo que se considera una variedad rara de embarazo ectópico, y que generalmente se asocia con una alta tasa de mortalidad materna y fetal; la mortalidad materna es siete veces mayor que en el embarazo tubárico y de hasta 90 veces más que en el embarazo normal. Se presenta el caso de una paciente con antecedentes de asma bronquial, que acudió al Departamento de Urgencia del centro asistencial de Montalbán perteneciente al municipio Libertador del distrito capital de la República Bolivariana de Venezuela por presentar dolor abdominal acompañado de náuseas y plenitud gástrica, la cual fue atendida en el proceso quirúrgico. Por laparotomía exploradora se detectó embarazo ectópico abdominal. Se realizó resección en cuña de la zona afectada del ovario derecho y excéresis del saco embrionario(AU)

Abdominal ectopic pregnancy is a rare condition, with very few cases reported in literature. It consists in the implantation of pregnancy in some of the structures in the abdomen by what is considered a rare variety of ectopic pregnancy, and is generally associated with a high rate of maternal and fetal mortality; in these cases maternal mortality is seven times higher than in the tubal pregnancy and up to 90 times higher than in normal pregnancy. We report the case of a patient with a history of bronchial asthma, who attended the Emergency Department of the health center of Montalbán, in the municipality Libertador, in the capital district of the Bolivarian Republic of Venezuela because of abdominal pain with nausea and gastric fullness. The patient was treated through surgical process. Through exploratory laparotomy, abdominal ectopic pregnancy was detected. Partial right oophorectomy was performed as well as exeresis of the embryonary sac(AU)

Advanced abdominal pregnancy: a case report of good maternal and perinatal outcome / Embarazo abdominal avanzado: reporte de un caso con un buen resultado materno y perinatal

Advanced abdominal pregnancy is understood to mean any extrauterine pregnancy found within the peritoneal cavity that is greater than 20 weeks gestation. Its management is one of laparotomy with varying complications including poor perinatal outcome and increased maternal morbidity and mortality. There is no accepted consensus for the complete removal of the placenta at laparotomy. This paper reports the management of a unique case of advanced abdominal pregnancy that was diagnosed by ultrasound at 20 weeks gestation and treated conservatively until delivery of a viable female neonate at 33 weeks and 4 days by elective laparotomy. At the time of laparotomy, the placenta was removed completely with good maternal outcome. This, to the best of our knowledge, is the first case in the West Indian literature documenting complete removal of the placenta at the time of laparotomy with good maternal outcome.

Por embarazo abdominal avanzado se entiende cualquier embarazo extrauterino que se halle dentro de la cavidad peritoneal, a partir de las 20 semanas de gestación. Su tratamiento requiere laparotomía, y presenta distintas complicaciones que incluyen pobre resultado perinatal, así como aumento de la morbilidad y mortalidad materna. No hay consenso con respecto a la extracción completa de la placenta al realizar la laparotomía. Este trabajo reporta el tratamiento de un único caso de embarazo abdominal avanzado, diagnosticado por ultrasonido a las 20 semanas de gestación, y tratado de forma conservadora hasta el parto de un neonato viable hembra a las 33 semanas y cuatro días, mediante laparotomía electiva. A la hora de la laparotomía, se extrajo la placenta completamente con un buen resultado materno. Se trata - hasta donde sabemos - del primer en la literatura de West Indies, que documenta la extracción completa de la placenta al momento de la laparotomía con buen resultado materno.

Advanced abdominal pregnancy: a case report of good maternal and perinatal outcome.

Advanced abdominal pregnancy is understood to mean any extra-uterine pregnancy found within the peritoneal cavity that is greater than 20 weeks gestation. Its management is one of laparotomy with varying complications including poor perinatal outcome and increased maternal morbidity and mortality. There is no accepted consensus for the complete removal of the placenta at laparotomy. This paper reports the management of a unique case of advanced abdominal pregnancy that was diagnosed by ultrasound at 20 weeks gestation and treated conservatively until delivery of a viable female neonate at 33 weeks and 4 days by elective laparotomy. At the time of laparotomy, the placenta was removed completely with good maternal outcome. This, to the best of our knowledge, is the first case in the West Indian literature documenting complete removal of the placenta at the time of laparotomy with good maternal outcome.

Embarazo abdominal en primigesta a término / Abdominal pregnancy present in a term-primipara

El embarazo abdominal es poco frecuente y está asociado con alta mortalidad materna y fetal. Es raro que llegue al término y mucho menos obtener un recién nacido en buenas condiciones. El presente artículo trata de una paciente de 30 años de edad atendida en el Hospital Ginecoobstérico Ramón González Coro, con diagnóstico al ingreso de embarazo de 38,5 semanas y placenta previa oclusiva, se diagnosticó en el transoperatorio embarazo abdominal a término, con producto de la gestación en buenas condiciones. Se revisa el tema(AU)

Abdominal pregnancy is infrequent and is associated with a high mortality rate for mother and for fetus. It is no easy to arrive to term, and much less to obtain a newborn in good conditions. Present paper is on the case of a patient aged 30 seen in Ramón González Coro Gynecology and Obstetrics Hospital diagnosed at admission with a 38,5 weeks pregnancy and occlusive previa placenta, in transoperative period we diagnosed term abdominal pregnancy with a fetus in good conditions. We made a review on this matter(AU)

[Abdominal pregnancy care. Case report]. / Atención del embarazo abdominal. Comunicación de un caso.

Abdominal pregnancies are the implantation of gestation in some of the abdominal structures. This kind of pregnancies represents sevenfold maternal death risk than tubarian ectopic pregnancies, and 90-fold death risk than normal ones. Previous cases have erroneously reported as abscess in Douglas punch, and frequently result in obitus or postnatal deaths. We report a case of a patient with 27 years old, and diagnosis of 25.2 weeks of pregnancy, prior placenta and anhidramnios, referred due to difficult in uterine contour delimitation, easy palpation of fetal parts, cephalic pole in left hypochondrious and presence of mass in hypogastria, no delimitations, pain with mobilization, no transvaginal bleed and fetal movements. Interruption of pregnancy is decided by virtue of severe oligohidramnios, retardation in fetal intrabdominal growth, and recurrent maternal abdominal pain. Surgical intervention was carried out for resolution of the obstetrical event, in which was found ectopic abdominal pregnancy with bed placental in right uterine horn that corresponded to a pregnancy of 30 weeks of gestation. Abdominal pregnancy is still a challenge for obstetrics due to its diagnosis and treatment. Early diagnosis is oriented to prevent an intrabdominal hemorrhage that is the main maternal cause of mortality.

[Late primary abdominal pregnancy. Case report]. / Embarazo abdominal primario avanzado. Comunicación de un caso.

Abdominal advanced pregnancy is an obstetric complication that put at risk maternal and fetal life. We report a case of advanced abdominal pregnancy with intact ovaries and fallopian tubes, without ureteroperitoneal fistulae and, late prenatal diagnosis, in a multiparous patient without risk factors, with alive newborn, and whose pregnancy was attended at Unidad Medica de Alta Especialidad, Hospital de Gineco-Obstetricia, Centro Medico Nacional de Occidente del IMSS, Guadalajara, Jalisco, México.

Primary twin omental pregnancy: report of a rare case and literature review.

OBJECTIVE: To report a very rare case of a primary twin omental pregnancy. DESIGN: Case report. SETTING: The emergency department of a university teaching hospital. PATIENT(S): A 36-year-old woman. INTERVENTION(S): Partial omentectomy by laparotomy. MAIN OUTCOME MEASURE(S): Laparotomy successfully performed in the case of a twin omental pregnancy. RESULT(S): A 36-year-old woman presented with intense abdominal pain of 3 days' duration, hypotensive, with distended abdomen and signs of peritoneal irritation, and no transvaginal bleeding or evidence of topic pregnancy. Laparotomy showed normal internal genital organs and the presence of a large hemoperitoneum with a twin omental pregnancy. Partial omentectomy was performed. The patient progressed well postoperatively, and subsequent beta-hCG titer was negative. CONCLUSION(S): Primary omental twin pregnancy is extremely rare, and when associated with acute abdomen and large hemoperitoneum, laparotomy is required for treatment.

Embarazo abdominal: un reto para el anestesiólogo / Abdominal pregnancy: a challenge for the anesthesiologist

La incidencia de embarazo abdominal oscila entre 1 y 1,4 por ciento del total y es responsable de 9 a 14,2 por ciento de las muertes maternas en el primer trimestre del embarazo. Describir la conducta seguida ante una paciente con embarazo abdominal y feto vivo. Presentamos una paciente primigesta de 30 años con antecedentes de salud ingresada por el diagnóstico de placenta previa oclusiva total. Con 38,5 semanas de gestación comenzó con fiebre, vómitos y dolores difusos abdominales, interpretándose como síntomas dispépticos. Se realizó cardiotocografía y se encontró signos de sufrimiento fetal agudo, causa por la cual se anuncia para operación cesárea de urgencia. Se realizó anestesia peridural lumbar. Se encontró feto vivo en su bolsa amniótica en la cavidad abdominal con la placenta adherida a epiplón y vejiga, útero de aspecto normal, pequeño, sin ningún daño estructural. Se obtuvo recién nacido con Apgar 3-4-6 y peso de 3 400 gramos. Comenzó sangramiento abundante post-remoción placentaria con pérdidas de 70 por ciento de la volemia. Se realizaron las acciones encaminadas a lograr la estabilidad hemodinámica intraoperatoria proporcionando una anestesia general orotraqueal y se trasladó la paciente a la Unidad de Cuidados Intensivos. A pesar de constituir el embarazo abdominal una entidad extraordinariamente rara, máxime con feto vivo, se presenta una paciente con evolución y resultado satisfactorio para madre y feto(AU)

Calcified abdominal pregnancy with eighteen years of evolution: case report.

CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes.

Calcified abdominal pregnancy with eighteen years of evolution: case report

CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes