# Pregnancy in Morrison Pouch: a case report

## TL;DR

This case report describes a rare abdominal pregnancy in the Morrison Pouch that led to severe complications and maternal death.

## Contribution

The novelty lies in highlighting the specific risks and complications of abdominal pregnancy located in the Morrison Pouch.

## Key findings

- Abdominal pregnancy in the Morrison Pouch can present with right upper quadrant pain and mass.
- Severe anemia and hemorrhagic shock are life-threatening complications of such pregnancies.

## Abstract

Abdominal pregnancy is a rare form of ectopic pregnancy (accounting for 1% of all ectopic pregnancies). Depending on gestational age and its location various symptoms and signs may be exhibited. This study aimed to report a case of abdominal pregnancy occurring in the Morrison Pouch with a primary presentation of right upper quadrant pain and to highlight complications that may arise in the management of abdominal pregnancy located in the Morrison Pouch. A 22-year pregnant woman at gestation of 22 weeks presented with a right upper quadrant mass and pain. Ultrasound examination revealed a live extrauterine singleton at Morrison Pouch, full blood count showed severe anemia. The patient received a blood transfusion in seven days and underwent emergency laparotomy after experiencing sudden acute internal hemorrhage but died a few hours post laparotomy due to hemorrhagic shock. Abdominal pregnancy carries a high risk of maternal hemorrhage as described in this case.