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. 2014:2014:893935.
doi: 10.1155/2014/893935. Epub 2014 Mar 18.

A Rare Localization of Ectopic Pregnancy: Intramyometrial Pregnancy in Twin Pregnancy following IVF

Lahcen Boukhanni  1 , Yassir Ait Benkaddour  2 , Ahlam Bassir  2 , Abdrahim Aboulfalah  2 , Hamid Asmouki  2 , Abderraouf Soummani  2
Affiliations

A Rare Localization of Ectopic Pregnancy: Intramyometrial Pregnancy in Twin Pregnancy following IVF

Lahcen Boukhanni et al. Case Rep Obstet Gynecol. 2014.

Abstract

Intramyometrial pregnancy is a rare form of ectopic pregnancy. It makes a diagnostic and therapeutic challenge. If misdiagnosed the intramyometrial pregnancy can cause a uterine rupture and become life-threatening condition. We report a case of intramyometrial pregnancy in twin pregnancy following IVF with spontaneous abortion of the first twin At 9 weeks of gestation. The 10 weeks scan showed a normal fetus which was described to be highly localized in the uterus but the diagnosis of intramyometrial pregnancy was not suspected. The patient was admitted at 14 weeks of gestation with pelvic pain, hemorrhage, and shock. She was operated and the diagnosis of ruptured intramyometrial pregnancy was done and managed conservatively. This case illustrates the diagnostic difficulties of intramyometrial pregnancy. We discuss pathophysiology, diagnosis, and treatment of this exceptional form of ectopic pregnancy.

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Figures

Figure 1
Figure 1
Partial rupture of the right lateral uterine.
Figure 2
Figure 2
Conceptus adherent to myometrium.
See this image and copyright information in PMC

References

    1. Dousias V, Stefos T, Chouliara S, Stefanou D, Kamina S, Lolis D. Intramural pregnancy with negative maternal serum b-HCG. European Journal of Obstetrics Gynecology & Reproductive Biology. 2003;111(1):94–95. - PubMed
    1. Marchiolé P, Gorlero F, De Caro G, Podestà M, Valenzano M. Intramural pregnancy embedded in a previous Cesarean section scar treated conservatively. Ultrasound in Obstetrics and Gynecology. 2004;23(3):307–309. - PubMed
    1. Lin Y-H, Seow K-M, Huang L-W, Hwang J-L. Ruptured intramural pregnancy with low and declining β-human chorionic gonadotropin levels. Taiwanese Journal of Obstetrics and Gynecology. 2005;44(1):91–93.
    1. Katano K, Ikuta K, Matsubara H, Oya N, Nishio M, Suzumori K. A case of successful conservative chemotherapy for intramural pregnancy. Fertility and Sterility. 1999;72(4):744–746. - PubMed
    1. Ohtsuka T, Hirata T, Tsukiyama T, Takana H, Kawaguchi H, Terao K. A very rare case of an ectopic cervical intramural pregnancy. Fertility and Sterility. 2011;95(1):291.e11–291.e13. - PubMed

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