[Diagnosis of intramural pregnancy by endoluminal color Doppler ultrasonography and review of the literature].

OBJECTIVE

To explore the ultrasound characteristics of intramural pregnancy and evaluate its diagnostic value.

METHODS

Intramural pregnancy was diagnosed by endoluminal ultrasonography and confirmed by surgery and pathological examination in 6 patients. The position of the gestational sac, ultrasound findings, distribution of color Doppler flow signals were observed and analyzed together with their surgical and pathological results based on literature review.

RESULTS

There were three types of ultrasound characteristics: gestational cyst type, mass type and uterine rupture type. The gestational cyst type or mass type presented with an empty uterus and a gestational sac or mixed mass was found in the myometrium, which can be separated from the endometrium. The sac or mass did not communicate with the uterine cavity, and abundant blood flow was observed about the sac or in the mass, while massive hemoperitoneum was found in the uterine rupture type.

CONCLUSION

Endoluminal ultrasound is of high value in the diagnosis of intramural pregnancy.