RT Journal Article SR Electronic T1 Hysteroscopic management of intramural ectopic pregnancy JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e244514 DO 10.1136/bcr-2021-244514 VO 14 IS 11 A1 Maximilian Mattes Auer-Schmidt A1 Gohar Rahimi A1 Amr H Wahba A1 Torsten Schmidt YR 2021 UL http://casereports.bmj.com/content/14/11/e244514.abstract AB 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.