A Case of Intramural Pregnancy.

Jang, Si Young; Seo, Kyung; Chay, Doo Byung; Cho, Si Hyun; Lee, Sang Hui; Kim, Bo Wook; Lee, Hyun Joon; Koo, Ja Seung

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(11):2312-2316.
Published online November 1, 2003.

A Case of Intramural Pregnancy.

Si Young Jang, Kyung Seo, Doo Byung Chay, Si Hyun Cho, Sang Hui Lee, Bo Wook Kim, Hyun Joon Lee, Ja Seung Koo

¹Department of Obstetrics and Gynecology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
²Department of Pathology, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.

Abstract

Intramural pregnancy is among the rarest forms of ectopic pregnancy. Since it has been first reported by Doederlein in 1913, 37 cases were reported in worldwide literatures. The pathologic criteria required for intramural pregnancy is that the product of conception is completely surrounded by uterine musculature and is separated from the uterine cavity and the fallopian tube or round ligament. Because of the difficult early diagnosis of intramural pregnancy, most cases were found after the onset of complications such as uterine rupture, shock and hemoperitoneum. Early detection of intramural pregnancy with the use of transvaginal ultrasonogram is important, and MRI is a useful, noninvasive imaging modality. We report a case of successful conservative chemotherapy for a intramural pregnancy with brief review of literatures.

Key Words: Intramural pregnancy, Ectopic pregnancy, Conservative chemotherapy