Objective: To describe a rare case of intramural pregnancy diagnosed with the use of magnetic resonance imaging (MRI) and conservatively managed.
Design: Case report.
Setting: Department of obstetrics and gynecology in a university hospital.
Patient: A 33-year-old healthy patient with a history of a partial mole after a years of primary unexplained infertility.
Intervention(s): Laparoscopic and transvaginal local injections of methotrexate.
Main Outcome Measure(s): Transvaginal ultrasound (US) and MRI findings.
Result: Treatment was successful, with no complications, and the patient's reproductive potential was preserved.
Conclusion(s): Early detection of intramural pregnancy with the use of: transvaginal US is important, and MRI is a useful, noninvasive imaging modality. Chemotherapy with methotrexate is an effective treatment that allows preservation of reproductive potential. (Fertil Steril(R) 1999;72:744-6. (C) 1999 by American Society for Reproductive Medicine.).