Intramyometrial ectopic pregnancy-a rare case

Authors

  • Nimisha Nagpal Department of Obstetrics and Gynaecology, Government Medical College, Amritsar, Punjab, India
  • Amrit Pal Kaur Department of Obstetrics and Gynaecology, Government Medical College, Amritsar, Punjab, India
  • Sukriti Sharma Department of Obstetrics and Gynaecology, Government Medical College, Amritsar, Punjab, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233407

Keywords:

Intramyometrial pregnancy, TVS, β-HCG, Methotrexate

Abstract

Ectopic pregnancies comprise 1-2% of all the first trimester pregnancies. Out of this, 95% are tubal in origin and only 5% are non-tubal. We report a rare type of intramyometrial ectopic pregnancy for which less than 50 cases have been reported so far. A case of intramyometrial pregnancy in 35-year-old primigravida with no previous history of uterine trauma, which is thought to be the main culprit behind its pathophysiology. Effective management in this case preserved the uterus for future pregnancies. Follow up was done till β- HCG levels returned to undetectable state.

References

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Reddy R. Intramyometrial gestation: a rare localization of ectopic pregnancy. Trop J Obstetr Gynaecol. 2017;34(1):73-5.

Venkatesh M, Sindhuja KL, Sundeep NV. Intra‐Myometrial pregnancy‐A rare site of ectopic pregnancy. Clin Case Studies Rep. 2020;3(1):1-2.

Kaul AR, Gupta UP, Kant D, Kant A. Intramyometrial pregnancy presenting as abnormal uterine bleeding in perimenopausal female. J Mid-life Health. 2022;13(1):85.

Falfoul A, Jadoui A, Bellasfar M, Kaabar N, Hamdoun L, Zouari F, et al. Intramural pregnancy: a case report. J Gynecol Obstetr Biol Reproduct. 1992;21(6):641-3.

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Published

2023-10-30

How to Cite

Nagpal, N., Pal Kaur, A., & Sharma, S. (2023). Intramyometrial ectopic pregnancy-a rare case. International Journal of Research in Medical Sciences, 11(11), 4225–4227. https://doi.org/10.18203/2320-6012.ijrms20233407

Issue

Section

Case Reports