Expectant management of intramural ectopic pregnancy.
BACKGROUND
Intramural ectopic pregnancy is unusual, difficult to diagnose, and associated with a high rate of uterine rupture.


METHODS
A 35-year-old, gravida 3, para 0-0-2-0 was diagnosed with intramural ectopic pregnancy by ultrasound showing a gestational sac surrounded completely by myometrium. It was confirmed by laparoscopy. With expectant management, the gestation resolved spontaneously.


CONCLUSIONS
Early diagnosis by ultrasound of intramural ectopic pregnancy permits expectant management which, if successful, would aid in maintaining fertility.
Bernstein
H B
HB
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287-1228, USA. helene_bernstein@yahoo.com
Thrall
M M
MM
Clark
W B
WB
D000022:Abortion, Spontaneous; D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000628:therapy*; D011295:Prenatal Care; D014463:Ultrasonography; D014599:Uterus