Advanced tubal pregnancy with a live birth at 42 + 0 weeks gestation in Tanzania: A case report

This report describes a rare case of a woman whose tubal pregnancy was unexpectedly identified during a caesarean section, resulting in the delivery of a live infant at a gestational age of 42 + 0 weeks. Despite multiple antenatal visits, three ultrasound examinations, and the presence of clinical signs, the tubal pregnancy was not recognized preoperatively. This case highlights the diagnostic challenges of advanced tubal pregnancy, the clinical overlap with abdominal pregnancies, and the importance of careful abdominal examination and improved ultrasonographic awareness, particularly in low-resource settings.