A case of Intramural Pregnancy following currettage , treated with Laparoscopic exicision and MTX .

Kim, Jae Yeon; Lee, Jae Joo; Song, Jung Ho; Yoo, Jae Gyung; Choi, Young Ryul; Lee, Mi Sun; Lee, young Mi; Hwang, In Soo

Case Report

Korean Journal of Obstetrics & Gynecology 2000;43(11):2045-2049.
Published online January 1, 2001.

A case of Intramural Pregnancy following currettage , treated with Laparoscopic exicision and MTX .

Jae Yeon Kim, Jae Joo Lee, Jung Ho Song, Jae Gyung Yoo, Young Ryul Choi, Mi Sun Lee, young Mi Lee, In Soo Hwang

Abstract

Intramural pregnancy is one of the rarest form of ectopic pregnancy that only 20 cases have been reported in the world so far. Pathologically, the location of the gestational sac is completely isolated from the uterine cavity and entirely surrounded by myometrium without any contact of endometrium. Many reports noted that there would be possible relationship between the intramural pregnancy and prior uterine traumatic factor- curettage, cesarean section, myomectomy, salpingectomy, and manual removal of the placenta and so on. We have recently experienced a case of intramural pregnancy following curettage, managed completely by the laparoscopic excision and additive single dose intramuscular MTX treatment. So, we report this case with a brief review of the literature.

Key Words: Intramural pregnancy, Curettage, Laparoscopic, MTX