Spontaneous intramyometrial pregnancy mimicking an intramural myoma: a diagnostic challenge

Marotta, Maria Laura;Donnez, Jacques;Michaux, Nathalie;Dupont, Michaël;Donnez, Olivier;et.al.
(2012) Gynecological Surgery : endoscopy, imaging, and allied techniques — Vol. 9, n° 4, p. 439-444 (2012)

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Authors
  • Donnez, JacquesUCLouvain
    Author
  • Michaux, NathalieMGD
    Author
  • Dupont, MichaëlMGD
    Author
  • Donnez, OlivierUCLouvain
    Author
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Abstract
This study describes the diagnosis and treatment of a spontaneous intramyometrial pregnancy by a case report and review of the literature at a university hospital center. A 24-year-old woman presented with a spontaneous intramyometrial pregnancy without any previous uterine surgery. Successful laparoscopic resection and myometrial correction were performed. The presence of trophoblastic tissue was confirmed and the myometrium revealed complete healing at postoperative MRI. Intramyometrial pregnancy can occur without previous uterine surgery or uterine manipulation and may be difficult to diagnose. Conservative laparoscopic excision is possible without damage to myometrial integrity.
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Citations

Marotta, M. L., Donnez, J., Michaux, N., Dupont, M., Delos, M., & Donnez, O. (2012). Spontaneous intramyometrial pregnancy mimicking an intramural myoma: a diagnostic challenge. Gynecological Surgery : endoscopy, imaging, and allied techniques, 9(4), 439-444. https://doi.org/10.1007/S10397-012-0751-7 (Original work published 2012)