Introduction: Abdominal pregnancy is a rare but potentially the most life-threatening type of ectopic gestation. In term abdominal pregnancies, the mainstay of treatment is surgery. Although the placenta and fetus should be removed when feasible, some cases may necessitate leaving a part or all of the placenta in situ to prevent uncontrollable haemorrhage, as well as morbidity to structures they are attached to. Case Presentation: A case of a 26-year-old nulliparous woman who presented with abdominal pain and an ultrasound scan report of a viable abdominal pregnancy at term. She subsequently had an emergency exploratory laparotomy and extraction of a live baby. The placenta was left in situ due to its attachment to vital structures. Postoperatively, she received some doses of methotrexate and was followed up with serial beta-human chorionic gonadotropin and ultrasound scans. Conclusion: Abdominal pregnancy is an ectopic pregnancy that may result in high maternal and fetal morbidity and mortality. The most severe complication is bleeding from the detached placenta site. Thus, leaving the placenta in situ is a possible option in selected cases. Keywords: Abdominal pregnancy, term, advanced, live baby, ectopic, placenta, methotrexate.