BACKGROUND:

Abdominal ectopic pregnancy is a rare entity which treatment has not been clearly stablished. One of the therapeutic alternatives is the surgical extraction of the fetus and the subsequent application of methotrexate in these patients.

CLINICAL CASE:

A 36-year-old female patient came to the emergency unit complaining of pain in the epigastrium. The patient referred a pregnancy of 16.2 weeks. Pelvic ultrasound and computed tomography were performed, demonstrating a suggestive image of a fetus without vitality at the level of the right hypochondrium. An exploratory laparotomy was performed. A male 115 gram fetus was observed at the level of mesogastrium, and was extracted without difficulty. Placental tissue was not removed because it was adhered to intestinal tissue. The subsequent management consisted of methotrexate. The patient was discharged without complications.

CONCLUSION:

The combined therapy between laparotomy for the extraction of the fetus and administration of methotrexate may be viable for cases of uncomplicated abdominal ectopic pregnancy in which the placental tissue is adhered to highly vascularized areas.