Abdominal pregnancy, one of the varieties of ectopic pregnancy, is defined as the implantation and primary or secondary development of all or part of the egg in the abdominal cavity. A rare entity, it accounts for 0.6 to 4% of all ectopic pregnancies. Because of delays in diagnosis and difficulties in managing abdominal pregnancies, the risk of mortality is significantly higher than for uncomplicated ectopic pregnancies.

We report here a case of early abdominal pregnancy diagnosed pre-rupture, unruptured on ultrasound and ruptured at laparotomy.