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In low-resource countries, diagnostic challenges complicate management. Prompt diagnosis requires a high level of suspicion. We report a 34-year-old, G3P1A+1SA, referred as a suspected abdominal pregnancy. Despite several ultrasounds and clinical signs, the diagnosis was delayed until 29 weeks\u2019 gestation with a live fetus. She was managed conservatively. A live infant was successfully extracted via laparotomy at 32 weeks of gestation. This case highlights diagnostic delays and difficulties in abdominal pregnancy, even as ultrasound use increases in resource-limited settings.<\/jats:p>","DOI":"10.1177\/17455057261446946","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T09:40:03Z","timestamp":1777282803000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Expectant management of advanced abdominal pregnancy with successful outcome: A case report and literature review"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9563-7748","authenticated-orcid":false,"given":"Opoku-Achampong","family":"Emmanuel","sequence":"first","affiliation":[{"name":"Kwadaso SDA Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7074-5214","authenticated-orcid":false,"given":"Randolph Baah","family":"Adu","sequence":"additional","affiliation":[{"name":"Kwadaso SDA Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rdeini Mohammed","family":"Walid","sequence":"additional","affiliation":[{"name":"Kwadaso SDA Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agyemang Charles Osei","family":"Tutu","sequence":"additional","affiliation":[{"name":"Kwadaso SDA Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asiedu Amissah","family":"Albert","sequence":"additional","affiliation":[{"name":"Kwadaso SDA Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul-Majeed","family":"Fadila","sequence":"additional","affiliation":[{"name":"Kwadaso SDA Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyedu","family":"Linda","sequence":"additional","affiliation":[{"name":"Kumasi South Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"issue":"2","key":"e_1_3_9_2_2","first-page":"572","article-title":"Advanced secondary abdominal pregnancy: a case report","volume":"4","author":"Mensah TA","year":"2023","unstructured":"Mensah TA, Boateng AK, Doffour-Dapaah K, et al. 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