Early Detection and Minimally Invasive Management of Intramural Pregnancy

Pei Ju Wu, Chien Min Han, Chin Jung Wang, Chyi Long Lee*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

20 Scopus citations

Abstract

Intramural pregnancy is a rare form of ectopic pregnancy, wherein the fetus is implanted within the myometrium, separate from the endometrial cavity. In the early reported cases, a diagnosis was only possible after an operation for uterine rupture; however, recent developments in ultrasonography and magnetic resonance imaging assist in early diagnosis. Early diagnosis prevents potential life-threatening hemorrhage and preserves fertility. Both medical therapy and surgery are used to treat intramural pregnancy: surgery is often performed via laparotomy and includes hysterectomy. Here, we report the first case of successfully combining hysteroscopy and laparoscopy in the early diagnosis and management of intramural pregnancy. Our experience reveals that the minimally invasive procedure is safe and effective in select cases where advanced endoscopic expertise is available.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume20
Issue number1
DOIs
StatePublished - 01 2013

Keywords

  • Hysteroscopy
  • Intramural pregnancy
  • Laparoscopy

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