Intramural pregnancy in a cesarean section scar. A case report.
BACKGROUND
More than 95% of ectopic pregnancies involve the fallopian tubes. Other sites of ectopic implantation are less frequent, and a pregnancy in the myometrium is extremely rare.


METHODS
An intramural pregnancy occurred in the uterine scar in a woman who had had two previous cesarean sections. It encompassed the full thickness of the uterine wall, with chorionic villi invading the myometrium. Following conservative surgical treatment, the patient successfully carried the twin pregnancy to term.


CONCLUSIONS
Meticulous examination of all the pelvic organs is important when searching for an ectopic pregnancy.
Neiger
R
R
Department of Obstetrics and Gynecology, University of Tennessee Medical Center, Knoxville 37920-6999, USA.
Weldon
K
K
Means
N
N
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications*; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery