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Intramural pregnancy presenting in a patient with tuberous sclerosis
Author(s) -
Glass Tracy,
Smith Paula,
Hodges Ronald,
Holmes Heather J.
Publication year - 2010
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20721
Subject(s) - medicine , ectopic pregnancy , tuberous sclerosis , enucleation , pregnancy , etiology , myometrium , abortion , uterine cavity , gynecology , endometrial polyp , obstetrics , radiology , surgery , uterus , hysteroscopy , pathology , genetics , biology
Intramural pregnancies are a rare form of ectopic pregnancy located within the myometrium separate from the endometrial cavity. In an effort to prevent potential complications, diagnosis should be made early when more conservative approaches can be performed to preserve reproductive potential. The diagnosis of ectopic pregnancies can be successfully accomplished through sonography; however, intramural pregnancies may be difficult to diagnose as they can appear similar to other etiologies. We present a unique case of a ruptured intramural pregnancy diagnosed with sonography and pelvic MRI in a patient with tuberous sclerosis. Surgical enucleation of the intramural pregnancy was successfully performed with postoperative resolution of beta hCG levels. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound 38:393‐396, 2010