Authors : Sholen Acharya, Deepak Rath
Volume : 6
Issue : 3
Year : 2025
Page No : 3475-3477
Background: Primary abdominal pregnancy is a rare and life-threatening form of ectopic pregnancy in which implantation occurs directly onto peritoneal surfaces, without prior tubal involvement. Due to its atypical presentation, diagnosis is often delayed, increasing the risk of severe complications such as hemorrhage and organ adhesion. Case Presentation: We report the case of a 32-year-old multiparous woman with a history of multiple induced abortions who presented with lower abdominal pain and vaginal bleeding. Her serum βhCG level was elevated (2079 mIU/ml), and ultrasonography suggested bowel wall thickening, initially misinterpreted as intussusception. Diagnostic laparoscopy was attempted but converted to laparotomy due to dense omental adhesions. Intraoperatively, an organized mass adherent to the transverse colon was identified and excised. Histopathological examination confirmed products of conception, leading to a diagnosis of primary abdominal pregnancy. Postoperatively, the patient recovered well, and serum βhCG levels declined to 40 mIU/ml, confirming resolution. Discussion and Conclusion: This case underscores the diagnostic challenges associated with primary abdominal pregnancy, particularly in patients with inconclusive ultrasound findings. High clinical suspicion, serial βhCG monitoring, and surgical intervention remain essential for timely diagnosis and management. Increased awareness of this rare condition is crucial to improving maternal outcomes and preventing severe complications.