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Intramural pregnancy:a report of four cases
Author(s): Zhang Fan, Hu Yan
Pages: 781-
785
Year: 2015
Issue:
11
Journal: New Chinese Medicine
Keyword: Intramural pregnancy; Trophoblastic tumor; Artificial abortion;
Abstract: Intramural pregnancy is rarely observed in clinical practice and it is likely to be misdiag-nosed.In this article,four cases of intramural pregnancy were reported.All patients had a history of artificial abortion.Upon admission,the 1st and 4th case were suspected with gestational trophoblastic lesions,the 2nd case was suspected with cornual pregnancy.All these cases were eventually diagnosed during cesarean section and terminated surgically.Considering medical history,changes in blood β-HCG level and ultrasound examina-tion,the 3rd case was diagnosed with intramural pregnancy and successfully terminated by conservative thera-py.The diagnosis of four cases hinted that the possibility of intramural pregnancy should be considered for pa-tients suspected with gestational trophoblastic diseases,intramural abnormality detected by B ultrasound and a history of artificial abortion.In combination with clinical data,the diagnosis should be confirmed as early as possible,avoiding delay of treatment.
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