A Case of Intramural Pregnancy.
- Author:
Si Young JANG
1
;
Kyung SEO
;
Doo Byung CHAY
;
Si Hyun CHO
;
Sang Hui LEE
;
Bo Wook KIM
;
Hyun Joon LEE
;
Ja Seung KOO
Author Information
1. Department of Obstetrics and Gynecology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Intramural pregnancy;
Ectopic pregnancy;
Conservative chemotherapy
- MeSH:
Drug Therapy;
Early Diagnosis;
Fallopian Tubes;
Female;
Fertilization;
Hemoperitoneum;
Magnetic Resonance Imaging;
Pregnancy*;
Pregnancy, Ectopic;
Round Ligament of Uterus;
Shock;
Ultrasonography;
Uterine Rupture
- From:Korean Journal of Obstetrics and Gynecology
2003;46(11):2312-2316
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intramural pregnancy is among the rarest forms of ectopic pregnancy. Since it has been first reported by Doederlein in 1913, 37 cases were reported in worldwide literatures. The pathologic criteria required for intramural pregnancy is that the product of conception is completely surrounded by uterine musculature and is separated from the uterine cavity and the fallopian tube or round ligament. Because of the difficult early diagnosis of intramural pregnancy, most cases were found after the onset of complications such as uterine rupture, shock and hemoperitoneum. Early detection of intramural pregnancy with the use of transvaginal ultrasonogram is important, and MRI is a useful, noninvasive imaging modality. We report a case of successful conservative chemotherapy for a intramural pregnancy with brief review of literatures.
