{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T10:00:22Z","timestamp":1778320822133,"version":"3.51.4"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intramural ectopic pregnancy is a rare form of ectopic pregnancy that occurs within the myometrium. It is challenging to diagnose it early because of its nonspecific clinical presentation, and there is no consensus or guideline on the optimal management among gynecologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a case of a 34-year-old woman who developed fundal intramural ectopic pregnancy after a previous caesarean section with B-Lynch suture. The B-Lynch suture was performed at 38 weeks of gestation for postpartum hemorrhage caused by refractory uterine atony about 8 years ago. Since then, the patient had oligomenorrhea. The diagnosis of intramural ectopic pregnancy was not confirmed by magnetic resonance imaging or ultrasound. An exploratory laparoscopy and hysteroscopy was performed to remove the gestational sac without significant bleeding. The surgery was successful and the patient recovered well. The patient was advised to monitor her \u03b2-HCG levels regularly until they returned to normal, and a follow-up pelvic ultrasound showed no complications. However, she has not been able to conceive or have an ectopic pregnancy so far.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case illustrates the difficulty of diagnosing intramural ectopic pregnancy, especially when it is associated with previous uterine surgery and B-Lynch suture. It also demonstrates the feasibility and safety of laparoscopic surgery for treating complete IUP, especially when the gestational sac is located close to the uterine serosa. However, the risk of uterine rupture and hemorrhage should be considered, and the patient should be informed of the possible complications and alternatives. Gynecologists should be familiar with various management strategies and customize the treatment plan according to the patient\u2019s clinical situation and preferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12905-024-03027-w","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T05:02:24Z","timestamp":1712034144000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A rare case of fundal intramural ectopic pregnancy associated with previous B-Lynch sutures"],"prefix":"10.1186","volume":"24","author":[{"given":"Junmiao","family":"Xiang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fendang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuhua","family":"Cai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruru","family":"Bao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"issue":"9","key":"3027_CR1","doi-asserted-by":"publisher","first-page":"2871","DOI":"10.12998\/wjcc.v10.i9.2871","volume":"10","author":"QJ Xie","year":"2022","unstructured":"Xie QJ, Li X, Ni DY, Ji H, Zhao C, Ling XF. Intramural pregnancy after in vitro fertilization and embryo transfer: a case report. World J Clin Cases. 2022;10(9):2871\u20137.","journal-title":"World J Clin Cases"},{"issue":"12","key":"3027_CR2","doi-asserted-by":"publisher","first-page":"e33379","DOI":"10.1097\/MD.0000000000033379","volume":"102","author":"Y Guo","year":"2023","unstructured":"Guo Y, Feng T, Du X. A detective of intramural ectopic pregnancy: the use of pituitrin under hysteroscopy combined with laparoscopy. Med (Baltim). 2023;102(12):e33379.","journal-title":"Med (Baltim)"},{"issue":"10","key":"3027_CR3","first-page":"849","volume":"49","author":"CA Grotegut","year":"2004","unstructured":"Grotegut CA, Larsen FW, Jones MR, Livingston E. Erosion of a B-Lynch suture through the uterine wall: a case report. 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Radiographics: Rev Publication Radiological Soc North Am Inc. 2015;35(3):946\u201359.","journal-title":"Radiographics: Rev Publication Radiological Soc North Am Inc"},{"issue":"7","key":"3027_CR6","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1002\/jcu.20245","volume":"34","author":"HS Ko","year":"2006","unstructured":"Ko HS, Lee Y, Lee HJ, Park IY, Chung DY, Kim SP, Park TC, Shin JC. Sonographic and MR findings in 2 cases of intramural pregnancy treated conservatively. J Clin Ultrasound: JCU. 2006;34(7):356\u201360.","journal-title":"J Clin Ultrasound: JCU"},{"key":"3027_CR7","doi-asserted-by":"publisher","first-page":"769627","DOI":"10.3389\/fmed.2021.769627","volume":"8","author":"X Chen","year":"2021","unstructured":"Chen X, Gao L, Yu H, Liu M, Kong S, Li S. Intramural ectopic pregnancy: clinical characteristics, risk factors for uterine rupture and Hysterectomy. Front Med (Lausanne). 2021;8:769627.","journal-title":"Front Med (Lausanne)"},{"issue":"5","key":"3027_CR8","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1111\/1471-0528.14752","volume":"125","author":"J Ramkrishna","year":"2018","unstructured":"Ramkrishna J, Kan GR, Reidy KL, Ang WC, Palma-Dias R. Comparison of management regimens following ultrasound diagnosis of nontubal ectopic pregnancies: a retrospective cohort study. BJOG: Int J Obstet Gynecol. 2018;125(5):567\u201375.","journal-title":"BJOG: Int J Obstet Gynecol"},{"key":"3027_CR9","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.ejogrb.2020.08.021","volume":"253","author":"Z Shen","year":"2020","unstructured":"Shen Z, Liu C, Zhao L, Xu L, Peng B, Chen Z, Li X, Zhou J. Minimally-invasive management of intramural ectopic pregnancy: an eight-case series and literature review. Eur J Obstet Gynecol Reprod Biol. 2020;253:180\u20136.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"6","key":"3027_CR10","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1111\/jog.12968","volume":"42","author":"S Li","year":"2016","unstructured":"Li S, Liu H, Li X, Liu Z, Li Y, Li N. Transfemoral temporary aortic balloon occlusion in surgical treatment of second trimester intramural ectopic pregnancy. J Obstet Gynaecol Res. 2016;42(6):716\u20138.","journal-title":"J Obstet Gynaecol Res"},{"issue":"11","key":"3027_CR11","first-page":"e31306","volume":"14","author":"N Nalini","year":"2022","unstructured":"Nalini N, Kumar A, Prasad MK, Singh AV, Sharma S, Singh B, Singh TH, Kumar P, Singh HV, Singh S. Obstetric and maternal outcomes after B-Lynch Compression sutures: a Meta-analysis. Cureus. 2022;14(11):e31306.","journal-title":"Cureus"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-03027-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-024-03027-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-03027-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T05:03:11Z","timestamp":1712034191000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-024-03027-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,2]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["3027"],"URL":"https:\/\/doi.org\/10.1186\/s12905-024-03027-w","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3629076\/v1","asserted-by":"object"}]},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,2]]},"assertion":[{"value":"18 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No ethical approval was required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Informed consent for publication was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"210"}}