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Intramural pregnancy presenting in a patient with tuberous sclerosis

โœ Scribed by Tracy Glass; Paula Smith; Ronald Hodges; Heather J. Holmes

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
643 KB
Volume
38
Category
Article
ISSN
0091-2751

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โœฆ Synopsis

Abstract

Intramural pregnancies are a rare form of ectopic pregnancy located within the myometrium separate from the endometrial cavity. In an effort to prevent potential complications, diagnosis should be made early when more conservative approaches can be performed to preserve reproductive potential. The diagnosis of ectopic pregnancies can be successfully accomplished through sonography; however, intramural pregnancies may be difficult to diagnose as they can appear similar to other etiologies. We present a unique case of a ruptured intramural pregnancy diagnosed with sonography and pelvic MRI in a patient with tuberous sclerosis. Surgical enucleation of the intramural pregnancy was successfully performed with postoperative resolution of beta hCG levels. ยฉ 2010 Wiley Periodicals, Inc. J Clin Ultrasound 38:393โ€396, 2010

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