Expectant management of intramural ectopic pregnancy.

Bernstein, H B; Thrall, M M; Clark, W B · Obstet Gynecol · 2001

case_report · Level V

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Abstract

Intramural ectopic pregnancy is unusual, difficult to diagnose, and associated with a high rate of uterine rupture. 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. Early diagnosis by ultrasound of intramural ectopic pregnancy permits expectant management which, if successful, would aid in maintaining fertility.

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