Ruptured primary sigmoidal pregnancy; a case report

Abdominal pregnancy is a very rare variant of ectopic pregnancy, generally with high maternal mortality and morbidity. We present in this paper the case of 17-year-old woman who presented with abdominal pain, hemodynamically unstable and high beta hCG levels. An emergency laparotomy was performed and established the intraoperative diagnosis of ruptured sigmoidal pregnancy. Complete surgical excision of sigmoidal pregnancy was possible, without lesions related to the sigmoid colon wall/ lumen. The patient was discharged postoperatively on 3rd day, having a favorable evolution and without complications. Abdominal pregnancy is an extremely rare condition that can be lifethreatening, so that a reliable index/ tool of suspicion and diagnosis should be available.