Diagnostics and treatment of ectopic intramural pregnancy: a clinical case

Fedorov AA, Sopova YuI, Popov AA, et al. . Diagnostics and treatment of ectopic intramural pregnancy: a clinical case. Russian Bulletin of Obstetrician-Gynecologist. 2020;20(5):74‑78. (In Russ.)
https://doi.org/10.17116/rosakush20202005174

Подписка 2026 Российский вестник акушера-гинеколога (Russian Bulletin of Obstetrician-Gynecologist)

Использование инфографики авторами научных работ

Close metadata

Abstract:

Ectopic pregnancy is a threat to a woman’s life and health. Currently, the frequency of ectopic pregnancy is increasing due to an increase in infectious and inflammatory diseases of the female reproductive sphere, as well as in connection with an increase in the number of reconstructive plastic surgeries on the uterus and fallopian tubes. A clinical observation of a rare form of ectopic pregnancy — intramural pregnancy, is presented, the issues of diagnosis and treatment of this condition are considered.

Keywords:

ectopic intramural pregnancy

diagnostic hysteroscopy

choice of surgical treatment option

Authors:

Fedorov A.A.

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

ORCID: 0000-0003-2590-5087

Sopova Yu.I.

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

ORCID: 0000-0002-6935-6086

Popov A.A.

Moscow Regional Research Institute of Obstetrics and Gynecology;
Moskvorechye Clinic

ORCID: 0000-0001-8734-1673

Bespalova A.G.

Moscow Regional Research Institute of Obstetrics and Gynecology

SPIN RSCI: 1328-3406
Scopus AuthorID: 57219993925
ORCID: 0000-0003-1940-9001

Koval’ A.A.

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

ORCID: 0000-0002-6347-6140

Chechneva M.A.

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

ORCID: 0000-0001-7066-3166

Lysenko S.N.

Moscow Regional Research Institute of Obstetrics and Gynecology

Barinova I.V.

Moscow Regional Research Institute of Obstetrics and Gynecology

SPIN RSCI: 6145-0926
Scopus AuthorID: 35788141500
ORCID: 0000-0003-0447-1734

Received:

02.04.2020

Accepted:

15.05.2020

Close metadata

References:

The results of a confidential audit of maternal mortality in the Russian Federation in 2014 (methodological letter): Ministry of health of the Russian Federation of October 9, 2015 N15-4/10/2-5993. (In Russ.).
Extrauterine (ectopic) pregnancy. Clinical recommendations (treatment protocol). Adamyan LV, ed. M. 2017. (In Russ.).
Clark EA, Silver RM Long-term maternal morbidity associated with repeat cesarean delivery. Am J Obstet Gynecol. 2011;205(6) (Suppl):2-10. https://doi.org/10.1016/j.ajog.2011.09.028
Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Human Reprod. 2002;17(12):3224-3230.
Centre for Maternal and Child Enquiries, CMACE (2011). Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer, 2006-08: the eighth report on confidential enquiries into maternal deaths in the United Kingdom. Br J Obstet Gynaecol. 2011;118(1):1-203.
Barnhart KT. Clinical practice. Ectopic pregnancy. New Engl J Med. 2009;361(4):379-387.
Orazulike NC, Konje JC. Diagnosis and management of ectopic pregnancy. Womens Health (Lond Engl). 2013;9(4):373-385.
Ngu SF, Cheung VY. Non-tubal ectopic pregnancy. Int J Gynaecol Obstet. 2011;115(3):295-297.
Karakok M, Balat O, Sari I, Kocer NE, Erdogan R. Early diagnosed intramural ectopic pregnancy associated with adenomyosis: report of an unusual case. Clin Exper Obst Gynecol. 2002;29:217-218.
Ishiguro T, Yamawaki K, Chihara M, Nishikawa N, Enomoto T. Myomectomy scar ectopic pregnancy following a cryopreserved embryo transfer. Reprod Med Biol. 2018;17(4):509-513.
Vagg D, Arsala L, Kathurusinghe S, Ang WC. Intramural ectopic pregnancy following myomectomy. J Investig Med High Impact Case Rep. 2018;6:1-4.
Bernstein HB, Thrall MM, Clark WB. Expectant management of intramural ectopic pregnancy. Obstet Gynecol. 2001;97(5 Pt 2):826-827.
Lone FW, Aziz AB, Khan MN, Pervez S. A case of intramural pregnancy: theimportance of differentiation from fibroid uterus. Aust N Z J Obstet Gynaecol. 2001;41(3):337-338.
Bhatia K, Bentick B. Intramural molar pregnancy: a case report. J Reprod Med. 2004;49(8):689-692.
Chida H, Kikuchi A, Murai M, Sasaki Y, Kanasugi T, Isurugi C, Oyama R, Sugiyama T. Intramural pregnancy implanted into a Myometrial defectcaused by curettage: diagnosis with transvaginal sonography andpreconception and postconception magnetic resonance imaging. J Ultrasound Med. 2016;35(9):2066-2067.
Kirk E, McDonald K, Rees J, Govind A. Intramural ectopic pregnancy: a case and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2013;168(2):129-133.
Nabeshima H, Nishimoto M, Utsunomiya H, Arai M, Ugajin T, Terada Y, Yaegashi N. Total laparoscopic conservative surgery for an intramural ectopic pregnancy. Diagn Ther Endosc. 2010;504062.
Liu Y, Nan F, Liu Z, Wei S, Liu Y, Zhao G, Guan D, Liu Y, Nan F, Liu Z. Intramural pregnancy: a case report. Eur J Obstet Gynecol Reprod Biol. 2014;176:197-198.
Su S, Chavan D, Song K, Chi D, Zhang G, Deng X, Li L, Kong B. Distinguishing between intramural pregnancy and choriocarcinoma: a case report. Oncol Lett. 2017;13(4):2129-2132.
Petit L, Lecointre C, Ducarme G. Intramural ectopic pregnancy with livebirth at 37 weeks of gestation. Arch Gynecol Obstet. 2013;287(3):613-614.
Meng SM, Meng SQ. Rupture of uterus in intramural pregnancy a case report. Zhonghua fu chan ke za zhi. 2004;39(6):429.
Fait G, Goyert G, Sundareson A, Pickens A Jr. Intramural pregnancy with fetal survival: case history and discussion of etiologic factors. Obstet Gynecol. 1987;70(3 Pt 2):472-474.
Li S, Liu H, Li X, Liu Z, Li Y, Li N. Transfemoral temporary aortic balloon occlusion in surgical treatment of second trimester intramural ectopic pregnancy. J Obstet Gynaecol Res. 2016;42(6):716-718.
Kong L, Mao N, Shi Y, Ma H, Xie H. Diagnosis and management of intramural ectopic pregnancy in the second trimester-a case report. BJR case reports. 2017;3(4):20160095.
Liu S, Kuang Y, Wu Y, Feng Y, Lyu Q, Wang L, Sun Y, Sun X. High oestradiol concentration after ovarian stimulation is associated with lower maternal serum beta-HCG concentration and neonatal birth weight. Reprod BioMed Online. 2017;35(2):189-196.
Memtsa M, Jamil A, Sebire N, Jauniaux E, Jurkovic D. Diagnosis and management of intramural ectopic pregnancy. Ultrasound Obstet Gynecol. 2013;42(3):359-362.
Ackerman TE, Levi CS, Dashefsky SM, Holt SC, Lindsay DJ. Interstitial line: sonographic finding in interstitial (cornual) ectopic pregnancy. Radiology. 1993;189(1):83-87.