Intramural ectopic pregnancy implanting in adenomyosis
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This case report describes an unusual instance of an intramural ectopic pregnancy found implanted within adenomyosis of the uterus.
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Abstract
The clinical course of this 33-year-old gravida presenting at 16 weeks' gestation with hemoperitoneum was typical for suspected uterine rupture. Pathologic examination of the hysterectomy specimen supports the diagnosis of intramural pregnancy, representing the 15th case reported to date in the literature. Furthermore, there was histologic evidence of adenomyosis both within the sinus tract leading to the implantation site and throughout the myometrium. Documentation of implantation and development of ectopic pregnancy in adenomyotic myometrium should alert the clinician to the possibility of this rare pregnancy complication.
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References (3)
Cited by (7)
- A Rare Case of Intramyometrial Pregnancy 2023
- Adenomyosis in Pregnancy: Diagnostic Pearls and Pitfalls 2021
- Adenomyosis and Infertility 2019
- Subserosal intramural ectopic pregnancy in an adenomyotic area following assisted reproduction treatment 2009
- Uterine Adenomyosis: Endovaginal US and MR Imaging Features with Histopathologic Correlation 1999
- Cystic adenomyosis of the uterus: MRI 1998
- Pregnancy after medical therapy of adenomyosis with a gonadotropin-releasing hormone agonist 1993
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- europepmc
- last seen: 2026-09-03T06:15:13.668130+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:09:15.954262+00:00
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