title: A Rare Localization of Ectopic Pregnancy: Intramyometrial Pregnancy in Twin Pregnancy following IVF.
abstract: Intramyometrial pregnancy is a rare form of ectopic pregnancy. It makes a diagnostic and therapeutic challenge. If misdiagnosed the intramyometrial pregnancy can cause a uterine rupture and become life-threatening condition. We report a case of intramyometrial pregnancy in twin pregnancy following IVF with spontaneous abortion of the first twin At 9 weeks of gestation. The 10 weeks scan showed a normal fetus which was described to be highly localized in the uterus but the diagnosis of intramyometrial pregnancy was not suspected. The patient was admitted at 14 weeks of gestation with pelvic pain, hemorrhage, and shock. She was operated and the diagnosis of ruptured intramyometrial pregnancy was done and managed conservatively. This case illustrates the diagnostic difficulties of intramyometrial pregnancy. We discuss pathophysiology, diagnosis, and treatment of this exceptional form of ectopic pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Marrakesh, Cadi Ayyad University, 40 000 Marrakesh, Morocco ; Department of Obstetrics & Gynecology, Mother and Child Hospital, Mohammed VI University Hospital, Cadi Ayyad University, School of Medicine, 40 000 Marrakesh, Morocco.
authors.forename: Lahcen
authors.identifier: 0000-0002-2006-9465
authors.initials: L
authors.lastname: Boukhanni
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Marrakesh, Cadi Ayyad University, 40 000 Marrakesh, Morocco.
authors.forename: Yassir
authors.initials: Y
authors.lastname: Ait Benkaddour
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Marrakesh, Cadi Ayyad University, 40 000 Marrakesh, Morocco.
authors.forename: Ahlam
authors.initials: A
authors.lastname: Bassir
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Marrakesh, Cadi Ayyad University, 40 000 Marrakesh, Morocco.
authors.forename: Abdrahim
authors.initials: A
authors.lastname: Aboulfalah
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Marrakesh, Cadi Ayyad University, 40 000 Marrakesh, Morocco.
authors.forename: Hamid
authors.initials: H
authors.lastname: Asmouki
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Marrakesh, Cadi Ayyad University, 40 000 Marrakesh, Morocco.
authors.forename: Abderraouf
authors.initials: A
authors.lastname: Soummani
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