title: A case of successful conservative chemotherapy for intramural pregnancy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan. kinkin@sunprom.med.nagoya-cu.ac.jp
authors.forename: K
authors.initials: K
authors.lastname: Katano
authors.forename: K
authors.initials: K
authors.lastname: Ikuta
authors.forename: H
authors.initials: H
authors.lastname: Matsubara
authors.forename: N
authors.initials: N
authors.lastname: Oya
authors.forename: M
authors.initials: M
authors.lastname: Nishio
authors.forename: K
authors.initials: K
authors.lastname: Suzumori
mesh_terms: 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
chemical_list: D008727:Methotrexate