A case of successful conservative chemotherapy for intramural pregnancy

Abstract

Objective: To describe a rare case of intramural pregnancy diagnosed with the use of magnetic resonance imaging (MRI) and conservatively managed.

Design: Case report.

Setting: Department of obstetrics and gynecology in a university hospital.

Patient: A 33-year-old healthy patient with a history of a partial mole after 3 years of primary unexplained infertility.

Intervention(s): Laparoscopic and transvaginal local injections of methotrexate.

Main outcome measure(s): Transvaginal ultrasound (US) and MRI findings.

Result: Treatment was successful, with no complications, and the patient's reproductive potential was preserved.

Conclusion(s): Early detection of intramural pregnancy with the use of transvaginal US is important, and MRI is a useful, noninvasive imaging modality. Chemotherapy with methotrexate is an effective treatment that allows preservation of reproductive potential.