Document Detail

An interesting case of intramyometrial pregnancy.
MedLine Citation:
PMID:  22605595     Owner:  NLM     Status:  MEDLINE    
A 27-year-old woman, gravida 3, para 1, at 9 weeks gestation, initially presented with clinical and ultrasonographic features suggestive of a missed spontaneous abortion for which surgical evacuation was performed. A diagnosis of ectopic pregnancy was made as on histological review no fetal or chorionic tissue was seen. Medical management for an ectopic pregnancy was initiated. Following methotrexate administration she was readmitted with severe abdominal pain. Findings on diagnostic laparoscopy revealed an asymmetrically enlarged swollen fundus. Hysteroscopy was performed concurrently demonstrating an empty uterine cavity. A diagnosis of intramyometrial pregnancy was made based on these findings. An MRI scan was performed postprocedure which supported the diagnosis. In view of her parity and future fertility medical management was adopted with methotrexate. She was followed up until hormone levels returned to baseline and serial scans showed a healed solid collection.
Tina Verghese; Karim Wahba; Ahmar Shah
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-03-08
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-18     Completed Date:  2013-02-12     Revised Date:  2014-03-12    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Abortifacient Agents, Nonsteroidal / therapeutic use
Combined Modality Therapy
Diagnosis, Differential
Magnetic Resonance Imaging
Methotrexate / therapeutic use
Pregnancy, Ectopic / diagnosis*,  therapy*
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; YL5FZ2Y5U1/Methotrexate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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