Abstract
Intramural pregnancy represents a very rare form of ectopic pregnancy and little is known about its etiology, prevalence, and natural history. The diagnosis is difficult due to its variable location within the uterus and different degrees of myometrial involvement. The diagnosis can usually be made on ultrasound scan but magnetic resonance imaging (MRI) may be helpful in some cases. The management of intramural pregnancy varies depending on the type of intramural pregnancy, the gestational age and severity of symptoms at presentation. Increased awareness of this rare condition should improve its detection and ensure better maternal outcomes in the future.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kirk E, McDonald K, Rees J, Govind A. Intramural ectopic pregnancy: a case and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2013;168:129–33.
McGowan L. Intramural pregnancy. JAMA. 1965;192:637–9.
Khalifa Y, Redgment CJ, Yazdani N, Taranissi M, Craft IL. Intramural pregnancy following difficult embryo transfer. Hum Reprod. 1994;9:2427–8.
Memtsa M, Jamil A, Sebire N, Jauniaux E, Jurkovic D. Diagnosis and management of intramural ectopic pregnancy. Ultrasound Obstet Gynecol. 2013;42:359–62.
Fait G, Goyert G, Sundareson A, Pickens A Jr. Intramural pregnancy with fetal survival: case history and discussion of etiologic factors. Obstet Gynecol. 1987;70:472–4.
Wong KS, Tan J, Ang C, Ngu A. Myomectomy scar ectopic pregnancy. Aust N Z J Obstet Gynaecol. 2010;50:93–4.
Ginsburg KA, Quereshi F, Thomas M, Snowman B. Intramural ectopic pregnancy implanting in adenomyosis. Fertil Steril. 1989;51:354–6.
Naftalin J, Jurkovic D. The endometrial-myometrial junction: a fresh look at a busy crossing. Ultrasound Obstet Gynecol. 2009;34:1–11.
Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004;23:247–53.
Jurkovic D, Mavrelos D. Catch me if you scan: ultrasound diagnosis of ectopic pregnancy. Ultrasound Obstet Gynecol. 2007;30:1–7.
Hafner T, Aslam N, Ross JA, Zosmer N, Jurkovic D. The effectiveness of non-surgical management of early interstitial pregnancy: a report of ten cases and review of the literature. Ultrasound Obstet Gynecol. 1999;13:131–6.
Sebire NJ. The diagnosis of gestational trophoblastic disease in early pregnancy: implications for screening, counseling and management. Ultrasound Obstet Gynecol. 2005;25:421–4.
Wang S, Dong Y, Meng X. Intramural ectopic pregnancy: treatment using uterine artery embolization. J Minim Invasive Gynecol. 2013;20:241–3.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Memtsa, M., Jurkovic, D. (2015). Intramural Pregnancy. In: Tulandi, T. (eds) Ectopic Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-11140-7_16
Download citation
DOI: https://doi.org/10.1007/978-3-319-11140-7_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-11139-1
Online ISBN: 978-3-319-11140-7
eBook Packages: MedicineMedicine (R0)