Intramural pregnancy: a diagnostic dilemma for an obstetrician
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20222827Keywords:
Intramural pregnancy, Ectopic pregnancy, HysterectomyAbstract
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”.
References
Verghese T, Wahba K, Shah A. An interesting case of intramyometrial pregnancy. BMJ Case Rep. 2012;2012:bcr1120115187.
Jin H, Zhou J, Yu Y, Dong M. Intramural pregnancy: a report of 2 cases. J Reprod Med. 2004;49(7):569-72.
Fait G, Goyert G, Sundareson A, Pickens A. Intramural pregnancy with fetal survival: case history and discussion of etiologic factors. Obstet Gynecol. 1987;70(3 Pt 2):472-4.
Lazovic B, Milenkovic V. Intramural ectopic pregnancy. Arch Oncol. 2010;18:30-1.
Capogna MV, Costantini A, Santomarco N, Piccione E, Bonifante M. Intramural ectopic pregnancy. Ital J Obstet Gynecol. 2014;26:37-40.
Ginsburg KA, Quereshi F, Thomas M, Snowman B. Intramural ectopic pregnancy implanting in adenomyosis. Fertil Steril. 1989;51:354-6.
Lee GS, Hur SY, Kown I, Shin JC, Kim SP, Kim SJ. Diagnosis of early intramural ectopic pregnancy. J Clin Ultrasound. 2005;33(4):190-2.
Wang Y, Yu F, Zeng LQ. Ectopic Pregnancy in Uncommon Implantation Sites: Intramural Pregnancy and Rudimentary Horn Pregnancy. Case Rep Obstet Gynecol. 2015;2015:536498.
Memtsa M, Jamil A, Sebire N, Jauniaux E, Jurkovic D. Diagnosis and management of intramural ectopic pregnancy. Ultrasound Obstet Gynecol. 2013;42(3):359-62.
Khalifa Y, Redgment CJ, Yazdani N, Taranissi M, Craft IL. Intramural pregnancy following difficult embryo transfer. Hum Reprod. 1994;9(12):2427-8.