Korean J Obstet Gynecol.  2004 Sep;47(9):1770-1773.

A Case of Intramural Pregnancy in Uterus

Affiliations
  • 1Department of Obstetrics and Gynecology, Seoul Sung Ae General Hospital, Seoul, Korea.
  • 2Department of Anatomical Pathology, Seoul Sung Ae General Hospital, Seoul, Korea.

Abstract

To our knowledge, implantation into the uterine muscle wall is one of the rare form of ectopic pregnancy, with only 16 cases reported until 1995. The early diagnosis depends upon the sonographic finding of intramural gestational sac-like growth and persistent high beta human chorionic gonadotropin (beta-hCG) levels after dilatation and curettage. But, nobody can't exclude intramural pregnancy in case that associated with adenomyosis in uterus in spite of negative beta-hCG. Hsieh et al. and Dousias et al. mentioned 2 cases of such situation with negative beta-hCG result. And confirmative diagnosis depends upon the pathologic finding for specimen obtained from laparoscopic or explorative hysterotomy. The authors have experienced one case of intramural pregnancy in uterus and report our case with a brief review of literature.

Keyword

Intramural pregnancy; Uterus

MeSH Terms

Adenomyosis
Animals
Chorionic Gonadotropin
Diagnosis
Dilatation and Curettage
Early Diagnosis
Female
Hysterotomy
Mice
Myometrium
Pregnancy*
Pregnancy, Ectopic
Ultrasonography
Uterus*
Chorionic Gonadotropin
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