Abstract:

Intramural ectopic pregnancy(IMP) currently lacks clear diagnostic and therapeutic criteria. When the diagnosis is not clear, it can lead to inappropriate treatment. Therefore, early diagnosis and correct treatment are particularly important, especially in view of preserving the patient′s future reproductive function. A case of IMP diagnosed by transvaginal gynecological color Doppler ultrasound was retrospectively analyzed. Hysteroscopy combined with laparoscopy and local injection were performed. The high risk factors, transvaginal ultrasound imaging manifestations and experience of hysteroscopy and laparoscopy in the treatment of IMP were analyzed and summarized in order to improve clinicians′ understanding of the disease and reduce the misdiagnosis and underdiagnosis of IMP in clinical practice. Transvaginal color Doppler ultrasound can early determine the size, location and relationship between the fetal sac and the muscle wall, which can be used as the first choice for early diagnosis of intramural pregnancy. Hysteroscopy combined with laparoscopy is a more effective method for further clarifying the diagnosis and treatment.

Key words: Pregnancy, ectopic, Ultrasonography, Hysteroscopy, Laparoscopy, Intramural ectopic pregnancy