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, including its diagnostic criteria and treatment plan. 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 patients’ uteri and fertility. In this case, clinicians excluded the gestational sac, repaired the uterus and saved the patient’s fertility.
Highlights
Intramural ectopic pregnancy is a rare type of ectopic pregnancy——a pregnancy implant within the myometrium, separated from endometrial cavity and fallopian tubes or round ligament.[1]
The gestational sac (GS) was not connected with the uterine cavity and endometrium, but embedded into the myometrium in the right posterior wall of the uterine
Intramural ectopic pregnancy is difficult to diagnose. In this case, preoperative diagnosis was possible by any kinds of examination
Summary
Intramural ectopic pregnancy is a rare type of ectopic pregnancy——a pregnancy implant within the myometrium, separated from endometrial cavity and fallopian tubes or round ligament.[1]. CASE REPORT A 20-year-old asymptomatic female, G1P0, with a history of curettage, is presented to the Department of Gynecology and Obstetrics for termination of pregnancy. Abdominal ultrasound showed the GS at a distance from the cavity, with a compressed myometrium between the two of them (Figure 1). The patient was at risk of the uterine rupture and lifethreatening haemorrhage.
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