Secondary mid-term abdominal pregnancy: A case report.

RATIONALE: Ectopic pregnancy is a common acute abdominal disease of gynecology. Ectopic pregnancy refers to a pregnancy in which the fertilized egg is implanted outside the uterine cavity. Abdominal pregnancy is a type of ectopic pregnancy, which refers to the embryo or fetus being located in the abdominal cavity outside the fallopian tubes, ovaries, and broad ligaments. Abdominal pregnancy has a high misdiagnosis rate and mortality rate, seriously endangering maternal health. Therefore, early diagnosis and treatment can significantly improve patient prognosis.

PATIENT CONCERNS: A 34-year-old woman was admitted to our hospital with intermittent nausea and vomiting for 3 months.

DIAGNOSES: The final diagnosis of this patient was abdominal pregnancy.

INTERVENTIONS: The patient underwent a cesarean exploration surgery, intraoperative ectopic pregnancy tissue clearance, partial omentectomy, left fallopian tube resection, and uterine fibroid resection.

OUTCOMES: The patient recovered well 3 days after surgery and was allowed to be discharged. The patient was followed-up regularly.

LESSONS: The treatment of mid-pregnancy in the abdominal cavity includes conservative and surgical treatments. The key to successful treatment of mid-pregnancy in the abdominal cavity is the handling of the placenta. Currently, there is a lack of rich treatment experience in the industry for abdominal pregnancy in mid-to-late pregnancy, and there are different considerations for surgical and conservative treatment methods.