A case of successful conservative chemotherapy for intramural pregnancy.

OBJECTIVE

To describe a rare case of intramural pregnancy diagnosed with the use of magnetic resonance imaging (MRI) and conservatively managed.

DESIGN

Case report.

SETTING

Department of obstetrics and gynecology in a university hospital.

PATIENT: A 33-year-old healthy patient with a history of a partial mole after 3 years of primary unexplained infertility.

INTERVENTION(S): Laparoscopic and transvaginal local injections of methotrexate.

MAIN OUTCOME MEASURE(S): Transvaginal ultrasound (US) and MRI findings.

RESULT: Treatment was successful, with no complications, and the patient's reproductive potential was preserved.

CONCLUSION(S): Early detection of intramural pregnancy with the use of transvaginal US is important, and MRI is a useful, noninvasive imaging modality. Chemotherapy with methotrexate is an effective treatment that allows preservation of reproductive potential.