Treatment of Intramyometrial Pregnancy by In Situ Injection of Methotrexate

J Minim Invasive Gynecol. 2017 Mar-Apr;24(3):335-337. doi: 10.1016/j.jmig.2016.05.007. Epub 2016 May 27.

Abstract

Intramyometrial ectopic pregnancies are rare, and various management modalities have been described. We report a patient with intramyometrial pregnancy who was successfully treated by in situ injection of methotrexate (MTX) after the failure of 2 intramuscular injections of MTX. We emphasize the difficult management of intramyometrial pregnancy and show that in situ MTX injection may be indicated for this particular type of ectopic pregnancy.

Keywords: Ectopic pregnancy; In situ methotrexate injection; Intramyometrial pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / administration & dosage
  • Adult
  • Female
  • Humans
  • Injections, Intralesional / methods
  • Injections, Intramuscular
  • Magnetic Resonance Imaging / methods*
  • Methotrexate / administration & dosage*
  • Myometrium* / diagnostic imaging
  • Myometrium* / pathology
  • Pregnancy
  • Pregnancy, Ectopic* / diagnosis
  • Pregnancy, Ectopic* / drug therapy
  • Pregnancy, Ectopic* / pathology
  • Treatment Outcome
  • Ultrasonography / methods*

Substances

  • Abortifacient Agents, Nonsteroidal
  • Methotrexate