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Hysteroscopic management of intramural ectopic pregnancy
  1. Maximilian Mattes Auer-Schmidt1,2,
  2. Gohar Rahimi3,
  3. Amr H Wahba1,4 and
  4. Torsten Schmidt1,2
  1. 1Department of Gynecologic Endoscopy, PAN-Klinik, Cologne, Germany
  2. 2Department of Obstetrics and Gynecology, Cologne University Hospital, Cologne, Germany
  3. 3Department of Endocrinology and Reproductive Medicine, Cologne University Hospital, Cologne, Germany
  4. 4Department of Obstetrics and Gynecology, Cairo University Hospital, Cairo, Egypt
  1. Correspondence to Dr Amr H Wahba; dr.amrwahba{at}


The uterine myometrium is the rarest location for an ectopic pregnancy resulting in the so-called ‘intramural or intramyometrial ectopic pregnancy’. 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.

  • obstetrics
  • gynaecology and fertility
  • pregnancy
  • reproductive medicine

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  • Contributors MMA-S and AHW contributed to the literature review and writing the main manuscript. GR and TS revised and edited the manuscript. TS is the executive surgeon. AHW is the corresponding author. All authors revised and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.