Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Nov 2;14(11):e244514.
doi: 10.1136/bcr-2021-244514.

Hysteroscopic management of intramural ectopic pregnancy

Maximilian Mattes Auer-Schmidt  1   2 , Gohar Rahimi  3 , Amr H Wahba  4   5 , Torsten Schmidt  1   2
Affiliations
Case Reports

Hysteroscopic management of intramural ectopic pregnancy

Maximilian Mattes Auer-Schmidt et al. BMJ Case Rep. .

Abstract

The uterine myometrium is the rarest location for an ectopic pregnancy resulting in the so-called 'intramural or intramyometrial ectopic pregnancy'. It presents a particular diagnostic and therapeutic challenge for the treating physician. If passed undiagnosed can lead to life-threatening uterine rupture, which may warrant hysterectomy, leaving the woman with irreversible infertility. Different treatment modalities have been proposed for the management of this condition. In this case report, we are describing a rare case of intramural ectopic pregnancy and reporting the use of hysteroscopy for the surgical management of this case for the first time in the literature.

Keywords: gynaecology and fertility; obstetrics; pregnancy; reproductive medicine.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Transvaginal ultrasound (A) sagittal section (B) cut section showing gestational sac, embryo, yolk sac within the posterior uterine wall, separate from the endometrium.
Figure 2
Figure 2
ColourDoppler ultrasound showing ‘ring of fire’.
Figure 3
Figure 3
Hysteroscopy showing (A) empty uterine cavity (B) intramyometrial ectopic pregnancy within a false tract passing through the posterior uterine wall.
See this image and copyright information in PMC

References

    1. Kirk E, McDonald K, Rees J, et al. . Intramural ectopic pregnancy: a case and review of the literature. Eur J Obstet Gynecol Reprod Biol 2013;168:129–33. 10.1016/j.ejogrb.2012.12.036 - DOI - PubMed
    1. Bernstein HB, Thrall MM, Clark WB. Expectant management of intramural ectopic pregnancy. Obstet Gynecol 2001;97:826–7. 10.1016/s0029-7844(01)01126-7 - DOI - PubMed
    1. Memtsa M, Jamil A, Sebire N, et al. . Diagnosis and management of intramural ectopic pregnancy. Ultrasound Obstet Gynecol 2013;42:359–62. 10.1002/uog.12437 - DOI - PubMed
    1. Lu HF, Sheu BC, Shih JC, et al. . Intramural ectopic pregnancy. sonographic picture and its relation with adenomyosis. Acta Obstet Gynecol Scand 1997;76:886–9. 10.3109/00016349709024372 - DOI - PubMed
    1. Boukhanni L, Benkaddour YA, Bassir A. Case report a rare localization of ectopic pregnancy: intramyometrial pregnancy in twin pregnancy following IVF. Case Rep Obstet Gynecol 2014;2014:10–12. - PMC - PubMed

Publication types