Abstract

In Brief Background Intramural ectopic pregnancy is unusual, difficult to diagnose, and associated with a high rate of uterine rupture. Case A 35-year-old, gravida 3, para 0-0-2-0 was diagnosed with intramural ectopic pregnancy by ultrasound showing a gestational sac surrounded completely by myometrium. It was confirmed by laparoscopy. With expectant management, the gestation resolved spontaneously. Conclusion Early diagnosis by ultrasound of intramural ectopic pregnancy permits expectant management which, if successful, would aid in maintaining fertility. Early diagnosis by ultrasound and expectant management might be possible with intramural ectopic pregnancy.

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