Abstract:

Intramural pregnancy is a special type of ectopic pregnancy that is extremely rare in clinic. If the pregnancy continues to second or third trimester of pregnancy, it is very likely to lead to uterine rupture, severe hemorrhage, shock, loss of fertility, and even fatal in severe cases. A case of an intramural pregnancy patient with uterine rupture at 19 weeks was reported. Combined with related case reports, firstly the initial abdominal pain of pregnancy was considered, and then it might be uterine rupture, finally the surgical and postoperative review analysis verified that it was intramural pregnancy rupture. By reviewing the diagnosis and treatment of this patient, summarizing and reviewing relevant literatures, we will strengthen the understanding of such rare pregnancy in order to detect, identify and treat this rare pregnancy earlier, so as to improve the adverse pregnancy outcomes of patients.

Key words: Pregnancy, ectopic, Pregnancy trimester, second, Uterine rupture, Case reports, Intramural pregnancy