Intramural twin pregnancy after in‐vitro fertilization

Abstract

Intramural pregnancy (IMP) is a rare type of uterine ectopic pregnancy (EP) in which a pregnancy is implanted within the uterine corpus, above the internal cervical os, separate from the interstitial section of the Fallopian tube and breaching the decidual-myometrial junction 1,2 . IMPs are relatively rare, accounting for < 1% of all EPs, with fewer than 100 cases reported in the literature 2-4 . We present a case of twin IMP after embryo transfer (ET), for which treatment was conducted laparoscopically; the patient conceived again 6 months later and delivered successfully.A 50-year-old woman with adenomyosis, multiple uterine fibroids and two previous pregnancies, including