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Both transvaginal ultrasound and magnetic resonance imaging were utilized as diagnostic aids in this case. The rare nature of this clinical scenario and lack of guidelines for management made clinical decision making difficult. Due to the size and location of the gestational sac, hysterectomy was deemed to be the safest modality, and a midline laparotomy, total abdominal hysterectomy, and bilateral salpingectomy was performed.<\/jats:p>","DOI":"10.1177\/2324709618790605","type":"journal-article","created":{"date-parts":[[2018,7,23]],"date-time":"2018-07-23T02:03:00Z","timestamp":1532311380000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Intramural Ectopic Pregnancy Following Myomectomy"],"prefix":"10.1177","volume":"6","author":[{"given":"Deanne","family":"Vagg","sequence":"first","affiliation":[{"name":"Royal Women\u2019s Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lima","family":"Arsala","sequence":"additional","affiliation":[{"name":"Royal Women\u2019s Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamitha","family":"Kathurusinghe","sequence":"additional","affiliation":[{"name":"Royal Women\u2019s Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. 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