Ectopic pregnancy accounts for approximately 2% of all pregnancies with the fallopian tube being the most common site for ectopic implantation. Abdominal ectopic pregnancy is very rare, thought to represent ~1% of all ectopic pregnancies with an estimated incidence of 1:1000-10,000 births (1). Abdominal pregnancy can be classified as being primary or secondary. Primary abdominal pregnancy is extremely rare and occurs when a fertilized ovum implants itself initially in the abdominal cavity. Most cases of abdominal pregnancy are secondary in that the fertilized ovum first implants in the fallopian tube, ovary or uterus and subsequently escapes through a rupture into the peritoneal cavity. There are reported cases of abdominal pregnancy developing to term with delivery of a live fetus through an abdominal incision. There is a significant risk of maternal intra-peritoneal hemorrhage with fatal consequences. The overall fetal survival rate remains low (2).