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Case Reports
. 2001 May;97(5 Pt 2):826-7.
doi: 10.1016/s0029-7844(01)01126-7.

Expectant management of intramural ectopic pregnancy

H B Bernstein  1 , M M Thrall, W B Clark
Affiliations
Case Reports

Expectant management of intramural ectopic pregnancy

H B Bernstein et al. Obstet Gynecol. 2001 May.

Abstract

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.

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