Open AccessDiagnosis and management of intramural ectopic pregnancy in the second trimester—a case report
Author(s) -
Long Kong,
Ning Mao,
YingHong Shi,
Heng Ma,
Hongwei Xie
Publication year - 2017
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20160095
Subject(s) - ectopic pregnancy , medicine , obstetrics , pregnancy , fertility , gestational sac , hysterectomy , gynecology , surgery , population , genetics , environmental health , biology
Intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, with risk of 1:30000. Confirmation of intramural ectopic pregnancy is difficult and is often performed intraoperatively. Intramural ectopic pregnancy often requires hysterectomy to avoid life-threatening haemorrhage. We present a case of intramural ectopic pregnancy in the second trimester, including its diagnostic criteria and treatment plan. Transvaginal ultrasound and MRI are important non-invasive methods in diagnosing this type of ectopic pregnancy. Clinicians should provide consideration to a combination of strategies and do their best to preserve patients’ uteri and fertility. In this case, clinicians excluded the gestational sac, repaired the uterus and saved the patient’s fertility.