Najmiah Djakaria, David Lotisna, Deviana Soraya Riu
Abdominal pregnancies account for 1.4 % of ectopic pregnancies and can often cause massive bleeding, with maternal mortality reaching 6%. A case of abdominal pregnancy occurred in a 32-year-old woman gravida 1, para 0, with twelve weeks four days of gestational age presented with lower abdominal colic pain. Obstetric ultrasonography revealed an empty uterus and fetal appearance on the extrauterine. The placenta is attached to the anterior region of the bladder, with an estimated fetal age of 12 weeks. Management for this patient was an emergency exploratory laparotomy surgery, right oophorectomy, and adhesiolysis through midline incisions with spinal anesthesia, and also the administration of methotrexate therapy post-operative. Intraoperatively the fetus was located intrabdominal and enveloped by the amniotic membrane; the placenta was attached to the omentum, anterior uterus and, right ovary. The importance of early detection and management of abdominal pregnancy may reduce the risk of bleeding complications and decrease fatality risk.