GROSSESSE ABDOMINALE: A PROPOS D UN CAS

Abstract

Abdominal pregnancy (GA) is defined as the implantation and development of the fertilized egg in the peritoneal cavity. It remains a very rare variety of ectopic pregnancy and can go undetected until late gestational age. Although the fetus may be viable, the maternal morbidity rate is high due to the occurrence of hemorrhages, which complicate management We report the case of a 27-year-old woman, G2P1 under estrogen-progetative oral contraception, having an irregular cycle; consults for abdomino-pelvic pain after 3 months of amenorhea with stable hemodynamics, the cervix is ​​closed and clean she experiences moderate pressure pain in the gastric region. The ultrasound evaluation to objectify an empty uterus with an evolving pregnancy of 11 weeks.The results of the laboratory analyzes are normal, with the exception of a hemoglobin at 10 g / l. A laparotomy allowed the demonstration of the gestational sac in the peritoneal cavity implanted on the pelvic wall adhering to the ovary and the omentum partly broken on extraction.