Abstract：
The aim of this study is to report a case of intramyometrial gravidity after hysteroscopic resection of retained products of conception.
We report the case of a 35-year old woman who presented at 7 weeks gestation with abdominal pain in the right iliac fossa, having had caesaren section 6 months ago. She underwent hysteroscopic resection of retained products of conception 6 weeks after casesarean section. The woman was submitted to two-and three-dimensional transvaginal ultrasound. Sonography revealed intramural ectopic pregnancy. Subsequently, we decided to perform a laparoscopic artery occlusion and removal of pregnancy with adequate multiple layer closure of the myometrial defect.
Conservative laparoscopic surgery can be used successfully in patients with intramyometrial pregnancy. Even though the intramural pregnancy is a very rare type of ectopic pregnancy, it should be kept in mind by gynecologists because it can become a life-threatening condition. Early dia-gnosis helps to preserve future fertility.
We report the case of a 35-year old woman who presented at 7 weeks gestation with abdominal pain in the right iliac fossa, having had caesaren section 6 months ago. She underwent hysteroscopic resection of retained products of conception 6 weeks after casesarean section. The woman was submitted to two-and three-dimensional transvaginal ultrasound. Sonography revealed intramural ectopic pregnancy. Subsequently, we decided to perform a laparoscopic artery occlusion and removal of pregnancy with adequate multiple layer closure of the myometrial defect.
Conservative laparoscopic surgery can be used successfully in patients with intramyometrial pregnancy. Even though the intramural pregnancy is a very rare type of ectopic pregnancy, it should be kept in mind by gynecologists because it can become a life-threatening condition. Early dia-gnosis helps to preserve future fertility.
摘要：
这项研究的目的是报告一例宫腔镜切除保留的受孕产物后肌层内妊娠的病例。
我们报道了一例35岁女性，在妊娠7周时出现右髂窝腹痛，6个月前做过剖腹产.剖腹产后6周，她接受了宫腔镜下保留的受孕产品切除术。该妇女接受了二维和三维经阴道超声检查。超声检查显示壁内异位妊娠。随后，我们决定在充分多层闭合子宫肌层缺损的情况下进行腹腔镜动脉闭塞和妊娠切除.
保守腹腔镜手术可成功用于肌层内妊娠患者。尽管壁内妊娠是一种非常罕见的异位妊娠，妇科医生应该记住它，因为它可能会危及生命。早期诊断有助于保持未来的生育能力。
我们报道了一例35岁女性，在妊娠7周时出现右髂窝腹痛，6个月前做过剖腹产.剖腹产后6周，她接受了宫腔镜下保留的受孕产品切除术。该妇女接受了二维和三维经阴道超声检查。超声检查显示壁内异位妊娠。随后，我们决定在充分多层闭合子宫肌层缺损的情况下进行腹腔镜动脉闭塞和妊娠切除.
保守腹腔镜手术可成功用于肌层内妊娠患者。尽管壁内妊娠是一种非常罕见的异位妊娠，妇科医生应该记住它，因为它可能会危及生命。早期诊断有助于保持未来的生育能力。
