A Rare Localization of Ectopic Pregnancy : Intramyometrial Pregnancy in Twin Pregnancy following IVF

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 I...

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Bibliographic Details
Published in:Case reports in obstetrics and gynecology 2014-01, Vol.2014 (2014), p.1-2
Main Authors: Ait Benkaddour, Yassir, Boukhanni, Lahcen, Bassir, Ahlam, Aboulfalah, Abderrahim, Asmouki, Hamid, Soummani, Abderraouf
Format: Article
Language:English
Subjects:
Case Report
Embryos
Hospitals
Hysterectomy
Mortality
Pregnancy
Surgery
Women
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Summary: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.
ISSN:2090-6684
2090-6692
DOI:10.1155/2014/893935