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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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[Intramural pregnancy with vague symptoms]

J E Tapià1, G W Locher, R Goebbels

  • 1Abteilung für Geburtshilfe und Gynäkologie, Bezirksspital Zweisimmen.

Schweizerische Medizinische Wochenschrift
|December 19, 1987
PubMed

The clinical course of an intramural pregnancy in a 28-year-old nullipara is reported. Clinical and sonographic symptoms were not specific. The diagnosis was suspected on laparoscopy. At laparotomy, evidence of incipient rupture of the uterus was found, but no intraperitoneal hemorrhage. The gestational sac was removed without opening the uterine cavum, and the localization within the myometrium was confirmed histologically. Intramural pregnancy is a rare event whose pathogenesis is not clear. Surgical treatment with conservation of the uterus is possible in some cases.

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