Abstract
Intramural pregnancy (IMP) is a rare type of ectopic pregnancy and described as a pregnancy that is partially or completely located within the myometrium of the uterine wall without communication with the endometrial cavity..
Highlights
Intramural pregnancy (IMP) is a rare type of ectopic pregnancy
Discussion/Conclusion: Our observation nicely illustrates serum β-hCG level should combined with image for suspected intramural pregnancy monitoring
The clinical symptoms are a history of amenorrhea with high serum β-human chorionic gonadotropin (HCG) levels, abdominal pain, irregular bleeding of the vagina, even the rupture of the uterus led to hemorrhagic shock [2,3]
Summary
Intramural pregnancy (IMP) is a rare type of ectopic pregnancy and described as a pregnancy that is partially or completely located within the myometrium of the uterine wall without communication with the endometrial cavity [1]. A 34-year-old female patient (G5P2), who had a history of induced abortion 14 days ago, was with prolonged vaginal bleeding underwent TVS and pregnancy test, and the result showed that a 12mm lesion was within the myometrium (Figure 1(A1)), and the serum β-hCG was positive (5203 mIU/ml) (Figure 1E). Her serum β-hCG level had a steady decline later without intervention (Figure 1E), the lesion keeps growing (Figures 1(A1-D1). Her β-hCG decreased to 50.4 mIU/mL 10 days after surgery with no vaginal bleeding and returned to normal 2 months after surgery (Figure 1G)
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