Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 43 1 2005 02 15 68 70 M. Valadan F. Yarandi S. Alipour 2015 09 28 Abdominal pregnancies are very uncommon and are misdiagnosed in half of the cases. We describe a case of abdominal pregnancy, which was misdiagnosed as pregnancy in a bicornuate uterus.The patient underwent operation urgently because of unstable hemodynamics. The spontaneously separated placenta and its bleeding site in the Douglas pouch were seen. We could not use sutures for hemostasis so, the place was managed by gauze packing and the minor postoperative complications were managed appropriately. It seems that packing with gauze is a good option for these cases. https://acta.tums.ac.ir/index.php/acta/article/view/2965 https://acta.tums.ac.ir/index.php/acta/article/download/2965/2946