Intramural pregnancy: a diagnostic dilemma for an obstetrician

Seema khandasu

doi:10.18203/2320-1770.ijrcog20222827

Authors

Seema khandasu Department of Obstetrics and Gynecology, Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222827

Keywords:

Intramural pregnancy, Ectopic pregnancy, Hysterectomy

Abstract

Intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy,with risk of 1:30000.Confirmation of intramural ectopic pregnancy is difficult and is often performed intraoperatively.Intramural ectopic pregnancy often requires hysterectomy to avoid life-threatening haemorrhage.We present a case of intramural ectopic pregnancy in the second trimester.Transvaginal ultrasound and MRI are important non-invasive methods in diagnosing this type of ectopic pregnancy.Clinicians should provide consideration to a combination of strategies and do their best to preserve patient’s ”uteri and fertility”.

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