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Diagnostic and Therapeutic Endoscopy
Volume 2010 (2010), Article ID 504062, 4 pages
Case Report

Total Laparoscopic Conservative Surgery for an Intramural Ectopic Pregnancy

1Department of Obstetrics and Gynecology, Iwate Prefectural Iwai Hospital, Kozenji, Ichinoseki-city, 029-0192, Japan
2Department of Obstetrics and Gynecology, Tohoku University Hospital, 1-1, Seiryo-machi, Aoba-ku, Sendai-city, Miyagi 980-8574, Japan

Received 7 March 2010; Accepted 21 September 2010

Academic Editor: Michael Conlin

Copyright © 2010 Hiroshi Nabeshima et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 38-year-old woman, gravida 3, para 1 with a history of a left salpingectomy for an ectopic pregnancy was admitted for treatment of a presumed ectopic pregnancy. Transvaginal sonography revealed an ill-defined gestational sac and fetal heart beat within the fundal myometrium adjacent to the left cornua. Laparoscopy was performed for a suspected left cornual pregnancy or intramural pregnancy. A cystic mass 3 cm in diameter was visible within the fundal myometrium. Total laparoscopic removal of the gestational sac was performed, and the uterus was preserved. Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium. In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported. However, in the prior report, the patient still required hysterectomy after conservative surgery. Therefore, this is the first report of the successful treatment of an intramural pregnancy exclusively with laparoscopy.