[Abdominal pregnancy: description of a case observed in Madagascar]

We report a case of primary abdominal pregnancy observed at the maternity clinic in Befelatanana, Madagascar. A 36-year-old woman, gravida 2, para 2, with no medical history presented at 40 weeks and 2 days of amenorrhea for sudden disappearance of fetal movements. Prenatal visits had been performed on an irregular basis by a private-practice midwife. Fetal death was confirmed by ultrasonographic examination and subsequent plain abdominal radiographic imaging suggested abdominal pregnancy. Laparotomy confirmed diagnosis of primitive abdominal pregnancy. Postoperative recovery was uneventful. Based on this rare case, the literature is reviewed and the importance of clinical follow-up and ultrasonography in detection and management is stressed.