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Updated: Jul 31, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Expectant management of intramural ectopic pregnancy
H B Bernstein1, M M Thrall, W B Clark
1Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287-1228, USA. helene_bernstein@yahoo.com
Background:
Intramural ectopic pregnancy is unusual, difficult to diagnose, and associated with a high rate of uterine rupture.
Case:
A 35-year-old, gravida 3, para 0-0-2-0 was diagnosed with intramural ectopic pregnancy by ultrasound showing a gestational sac surrounded completely by myometrium. It was confirmed by laparoscopy. With expectant management, the gestation resolved spontaneously.
Conclusion:
Early diagnosis by ultrasound of intramural ectopic pregnancy permits expectant management which, if successful, would aid in maintaining fertility.
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