[Abdominal pregnancy. Its conservative management. A case report with a live conceptus]

This is a case of abdominal pregnancy in an 18 year old woman. It has been diagnosed as a 30.4 weeks gestation abdominal pregnancy by clinical antecedents and findings supported by VSG and roentgenography. Conservative management for a period of two weeks with continual fetal monitoring and a series of maternal hemoglobin levels as well as induction of lung fetal maturation, were carried out. Exploratory laparatomy was done at 32.4 weeks of gestation; a living masculine product was found, weighing 1,100 g and Apgar of 8-9. The placenta was situated on the surface of the anterior leaf of the broad ligament, proximal round ligament portion, and proximal tubal portion on the right side. Removal of the placenta was made and right salpingectomy. Evolution was satisfactory of both mother and newborn. Mother was healthy and was discharged from hospital 3 days after. Newborn at 40 days from birth was healthy and weighing 2,000 g. Although most authors recommend surgical treatment for these cases, this case was treated conservatively as we consider the following to be good prognostic factors: age of the patient, general condition, position of placenta, state of fetal membranes, antecedents of partial detachment of placenta during pregnancy.