Korean J Obstet Gynecol.
2003 Dec;46(12):2476-2481.
Successful Conservative Chemotherapy for Intramural Pregnancy: A Case Report
- Affiliations
-
- 1Department of Obstetrics and Gynecology, College of Medicine, Kangwon National University, Chunchon, Korea.
Abstract
- More than 95% of ectopic pregnancies involve the fallopian tubes. Other sites of ectopic implantation are less frequent, and a pregnancy in the myometrium is extremely rare. Few cases are reported in the literature which satisfy the criteria required for the diagnosis of intramural ectopic pregnancy, and unequivocal diagnosis without extirpation of the ruptured uterus is difficult. Most of ruptured cases have been treated with surgical modality including hysterectomy, and for more conservative management early detection is important. MRI is a useful, noninvasive and confirmative imaging modality for the detection of intramural pregnancy. Chemotherapy with methotrexate is an effective treatment that allows preservation of reproductive potential in selected case. We described a case of unruptured intramural pregnancy diagnosed with MRI and successfully treated with methotrexate. Theoretical and possible pathophysiologic derangements of this rare pregnancy- related disorder are also reviewed.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Intramural Pregnancy
- Conservative Medical Treatment of Intramural Pregnancies Diagnosed by MRI: Two Case Reports
- A Case of Conservative Management of Ectopic Pregnancy Embedded in the Myometrium of Previous Cesarean Section Scar
- Intramural Pregnancy after in vitro Fertilization and Embryo Transfer
- A case of successful normal full term delivery after intramural pregnancy excision in heterotypic intramural pregnancy
