{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:53:34Z","timestamp":1770742414963,"version":"3.49.0"},"reference-count":20,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,7]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>The uterine myometrium is the rarest location for an ectopic pregnancy resulting in the so-called \u2018<jats:italic>intramural or intramyometrial ectopic pregnancy<\/jats:italic>\u2019. It presents a particular diagnostic and therapeutic challenge for the treating physician. If passed undiagnosed can lead to life-threatening uterine rupture, which may warrant hysterectomy, leaving the woman with irreversible infertility. Different treatment modalities have been proposed for the management of this condition. In this case report, we are describing a rare case of intramural ectopic pregnancy and reporting the use of hysteroscopy for the surgical management of this case for the first time in the literature.<\/jats:p>","DOI":"10.1136\/bcr-2021-244514","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T13:26:43Z","timestamp":1635859603000},"page":"e244514","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Hysteroscopic management of intramural ectopic pregnancy"],"prefix":"10.1136","volume":"14","author":[{"given":"Maximilian Mattes","family":"Auer-Schmidt","sequence":"first","affiliation":[{"name":"Department of Gynecologic Endoscopy, PAN-Klinik, Cologne, Germany"},{"name":"Department of Obstetrics and Gynecology, Cologne University Hospital, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gohar","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Reproductive Medicine, Cologne University Hospital, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1866-2374","authenticated-orcid":false,"given":"Amr H","family":"Wahba","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Endoscopy, PAN-Klinik, Cologne, Germany"},{"name":"Department of Obstetrics and Gynecology, Cairo University Hospital, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Endoscopy, PAN-Klinik, Cologne, Germany"},{"name":"Department of Obstetrics and Gynecology, Cologne University Hospital, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"2025082710120555000_14.11.e244514.1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ejogrb.2012.12.036","article-title":"Intramural ectopic pregnancy: a case and review of the literature","volume":"168","author":"Kirk","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082710120555000_14.11.e244514.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01126-7"},{"key":"2025082710120555000_14.11.e244514.3","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1002\/uog.12437","article-title":"Diagnosis and management of intramural ectopic pregnancy","volume":"42","author":"Memtsa","year":"2013","journal-title":"Ultrasound Obstet Gynecol"},{"key":"2025082710120555000_14.11.e244514.4","doi-asserted-by":"publisher","DOI":"10.3109\/00016349709024372"},{"key":"2025082710120555000_14.11.e244514.5","first-page":"10","article-title":"Case report a rare localization of ectopic pregnancy: intramyometrial pregnancy in twin pregnancy following IVF","volume":"2014","author":"Boukhanni","year":"2014","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082710120555000_14.11.e244514.6","doi-asserted-by":"publisher","DOI":"10.1002\/uog.981"},{"key":"2025082710120555000_14.11.e244514.7","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/S0015-0282(16)60506-X","article-title":"Intramural ectopic pregnancy implanting in adenomyosis","volume":"51","author":"Ginsburg","year":"1989","journal-title":"Fertil Steril"},{"key":"2025082710120555000_14.11.e244514.8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr.11.2011.5187","article-title":"An interesting case of intramyometrial pregnancy","volume":"2012","author":"Verghese","year":"2012","journal-title":"BMJ Case Rep"},{"key":"2025082710120555000_14.11.e244514.9","unstructured":"Marotta M , Donnez J , Michaux N . Spontaneous intramyometrial pregnancy mimicking an intramural Myoma: a diagnostic challenge. Gynecol Surg 2016:6\u20137."},{"key":"2025082710120555000_14.11.e244514.10","doi-asserted-by":"crossref","first-page":"NA","DOI":"10.1002\/jcu.20703","article-title":"Sonographic diagnosis and successful medical management of an intramural ectopic pregnancy","volume":"38","author":"Ong","year":"2010","journal-title":"J Clin Ultrasound"},{"key":"2025082710120555000_14.11.e244514.11","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(95)02088-A"},{"key":"2025082710120555000_14.11.e244514.12","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/S0015-0282(99)00613-5","article-title":"The modern management of interstitial or intramural pregnancy--is MRI and \"alloyed\" diagnostic gold standard or the real thing?","volume":"73","author":"Kucera","year":"2000","journal-title":"Fertil Steril"},{"key":"2025082710120555000_14.11.e244514.13","first-page":"472","article-title":"Intramural pregnancy with fetal survival: case history and discussion of etiologic factors","volume":"70","author":"Fait","year":"1987","journal-title":"Obstet Gynecol"},{"key":"2025082710120555000_14.11.e244514.14","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1007\/s00404-015-3730-1","article-title":"Curettage or operative hysteroscopy in the treatment of cesarean scar pregnancy","volume":"292","author":"Qian","year":"2015","journal-title":"Arch Gynecol Obstet"},{"key":"2025082710120555000_14.11.e244514.15","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1002\/jcu.20245","article-title":"Sonographic and Mr findings in 2 cases of intramural pregnancy treated conservatively","volume":"34","author":"Ko","year":"2006","journal-title":"J Clin Ultrasound"},{"key":"2025082710120555000_14.11.e244514.16","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.jmig.2012.10.005","article-title":"Intramural ectopic pregnancy: treatment using uterine artery embolization","volume":"20","author":"Wang","year":"2013","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082710120555000_14.11.e244514.17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2011\/965910","article-title":"Ruptured intramural pregnancy with myometrial invasion treated conservatively","volume":"2011","author":"Fadhlaoui","year":"2011","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082710120555000_14.11.e244514.18","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20107"},{"key":"2025082710120555000_14.11.e244514.19","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.ejogrb.2013.09.013","article-title":"Preoperative diagnosis and successful laparoscopic management of intramural pregnancy: case report","volume":"171","author":"Chen","year":"2013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082710120555000_14.11.e244514.20","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.jmig.2006.01.013","article-title":"Subserosal pregnancy in a previous myomectomy site: a variant of intramural pregnancy","volume":"13","author":"Park","year":"2006","journal-title":"J Minim Invasive Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:12:14Z","timestamp":1756314734000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":20,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,2]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-244514"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244514","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}