A case of successful conservative chemotherapy for intramural pregnancy.
OBJECTIVE
To describe a rare case of intramural pregnancy diagnosed with the use of magnetic resonance imaging (MRI) and conservatively managed.


METHODS
Case report.


METHODS
Department of obstetrics and gynecology in a university hospital.


METHODS
A 33-year-old healthy patient with a history of a partial mole after 3 years of primary unexplained infertility.


METHODS
Laparoscopic and transvaginal local injections of methotrexate.


METHODS
Transvaginal ultrasound (US) and MRI findings.


RESULTS
Treatment was successful, with no complications, and the patient's reproductive potential was preserved.


CONCLUSIONS
Early detection of intramural pregnancy with the use of transvaginal US is important, and MRI is a useful, noninvasive imaging modality. Chemotherapy with methotrexate is an effective treatment that allows preservation of reproductive potential.
Katano
K
K
Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan. kinkin@sunprom.med.nagoya-cu.ac.jp
Ikuta
K
K
Matsubara
H
H
Oya
N
N
Nishio
M
M
Suzumori
K
K
D000328:Adult; D005260:Female; D005298:Fertility; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D007267:Injections; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008727:Methotrexate / Q000008:administration & dosage* / Q000627:therapeutic use; D011184:Postoperative Period; D011247:Pregnancy; D016216:Ultrasonography, Prenatal
D008727:Methotrexate