The abdominal location is even more exceptional and presents less than 1% ofectopic pregnancies. We report and descript of the emergency approach that we used for management of an abdominal pregnancy for two patients who they are presented to our unit. For the two case the main symptom was the acute pelvic pain on the notion of amenorrhea, after complementary examen and given the urgency we proceeded, to an exploratory laparotomy that found an abdominal ectopic pregnancy. The issue for the two patients had an uneventful recovery and they were discharged the next few days. These cases are presented to highlight the dilemma associated with diagnosis and management of abdominal pregnancy with a review of literature.