Intramyometrial Pregnancy with Uterine Rupture at Second-trimester after Frozen Embryo Transfer.

ABSTRACT: Intramyometrial pregnancy is a rare type of ectopic pregnancy that is difficult to diagnose. We report a case of intramyometrial pregnancy with uterine rupture following frozen embryo transfer (FET), highlighting both the diagnostic challenges and the necessity for prompt surgical management. A 32-year-old woman with diffuse adenomyosis who had undergone in vitro fertilisation followed by FET presented at 14 weeks of pregnancy with acute abdominal pain and signs of hemoperitoneum. Imaging showed intra-abdominal bleeding and absent foetal cardiac activity. Laparoscopy revealed a rupture in the posterior uterine wall, with the placenta deeply embedded within the myometrium. Conservative surgical repair was successfully performed without necessitating a hysterectomy, and the patient fu

SUBMITTER: Karan M 

PROVIDER: S-EPMC12527152 | biostudies-literature | 2025 Jul-Sep

REPOSITORIES: biostudies-literature