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Diagnosis and management of intramural ectopic pregnancy in the second trimester-a case report
Long Kong1, Ning Mao2, Yinghong Shi2
1Department of Radiology, Jingzhou First People's Hospital Affiliated to Yangtze University, Jingzhou, China.
Abstract:
Intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, with risk of 1:30000. Confirmation of intramural ectopic pregnancy is difficult and is often performed intraoperatively. Intramural ectopic pregnancy often requires hysterectomy to avoid life-threatening haemorrhage. We present a case of intramural ectopic pregnancy in the second trimester, including its diagnostic criteria and treatment plan. Transvaginal ultrasound and MRI are important non-invasive methods in diagnosing this type of ectopic pregnancy. Clinicians should provide consideration to a combination of strategies and do their best to preserve patients' uteri and fertility. In this case, clinicians excluded the gestational sac, repaired the uterus and saved the patient's fertility.
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