Intramural pregnancy: a diagnostic dilemma for an obstetrician


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



Intramural pregnancy, Ectopic pregnancy, Hysterectomy


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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