Spontaneous intramyometrial pregnancy mimicking an intramural myoma: a diagnostic challenge

This study describes the diagnosis and treatment of a spontaneous intramyometrial pregnancy by a case report and review of the literature at a university hospital center. A 24-year-old woman presented with a spontaneous intramyometrial pregnancy without any previous uterine surgery. Successful lapar...

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Bibliographic Details
Published inGynecological surgery Vol. 9; no. 4; pp. 439 - 444
Main Authors Marotta, Maria-Laura, Donnez, Jacques, Michaux, Nathalie, Dupont, Michaël, Delos, Monique, Donnez, Olivier
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer-Verlag 01.11.2012
Springer Nature B.V
Subjects
Gynecology
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Obstetrics/Perinatology/Midwifery
Reproductive Medicine
Surgical Oncology
Techniques and Instrumentation
Intramyometrial
Myometrial pregnancy
Ectopic pregnancy
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Summary:This study describes the diagnosis and treatment of a spontaneous intramyometrial pregnancy by a case report and review of the literature at a university hospital center. A 24-year-old woman presented with a spontaneous intramyometrial pregnancy without any previous uterine surgery. Successful laparoscopic resection and myometrial correction were performed. The presence of trophoblastic tissue was confirmed and the myometrium revealed complete healing at postoperative MRI. Intramyometrial pregnancy can occur without previous uterine surgery or uterine manipulation and may be difficult to diagnose. Conservative laparoscopic excision is possible without damage to myometrial integrity.
ISSN:1613-2076
1613-2084
DOI:10.1007/s10397-012-0751-7