Intramural Pregnancy after in vitro Fertilization and Embryo Transfer.

Cha,  Sun Hwa; Park,  Chong Taik; Kim,  Hae Suk; Song,  Hyun Jung; Kang,  Eun Hee; Song,  Hyun Jin; Kang,  Inn Soo

Case Report

Korean Journal of Fertility and Sterility 2004;31(4):273-277.
Published online December 1, 2004.

Intramural Pregnancy after in vitro Fertilization and Embryo Transfer.

Sun Hwa Cha, Chong Taik Park, Hae Suk Kim, Hyun Jung Song, Eun Hee Kang, Hyun Jin Song, Inn Soo Kang

¹Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
²Department of Obstetrics and Gynecology, Seoul Women's Hospital, In cheon, Korea.

Abstract

Intramural pregnancy is an unusual ectopic gestation located within the uterine wall, completely surrounded by myometrium and separate from the uterine cavity, fallopian tube, or round ligament. It is known to be difficult to diagnose, and associated with a high rate of uterine rupture. We report a case of intramural pregnancy in which early diagnosis was made and successful treatment was done by dilatation and curettage. Diagnostic laparoscopy confirmed the absence of uterine rupture during the procedure. Therefore, conservation of fertility can be possible with early diagnosis of intramural pregnancy. To our knowledge, this is the first case report of intramural pregnancy following IVF-ET in Korea.

Key Words: Intramural pregnancy; IVF-ET; Conservative treatment