A call for deeper insights into intramural pregnancy: An international data registry
Abstract Intramural pregnancy (IMP) is a rare and potentially life‐threatening uterine ectopic pregnancy implanted within the myometrium. Despite its recognition as a distinct clinical entity, diagnostic challenges and a lack of standardized management protocols persist. IMP occurs when a gestationa...
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| Format: | Article |
| Language: | English |
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Wiley
2025-08-01
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| Series: | Acta Obstetricia et Gynecologica Scandinavica |
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| Online Access: | https://doi.org/10.1111/aogs.70007 |
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| _version_ | 1849421606859833344 |
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| author | Simrit Nijjar Cecilia Bottomley Davor Jurkovic |
| author_facet | Simrit Nijjar Cecilia Bottomley Davor Jurkovic |
| author_sort | Simrit Nijjar |
| collection | DOAJ |
| description | Abstract Intramural pregnancy (IMP) is a rare and potentially life‐threatening uterine ectopic pregnancy implanted within the myometrium. Despite its recognition as a distinct clinical entity, diagnostic challenges and a lack of standardized management protocols persist. IMP occurs when a gestational sac implants into the myometrium beyond the endometrial‐myometrial junction, often following uterine trauma. Diagnosis is hindered by non‐specific symptoms and frequent misclassification. While ultrasound is the primary diagnostic tool, magnetic resonance imaging (MRI) may be needed in unclear cases. Treatment options range from expectant management to surgical intervention, but no consensus exists on the optimal approach. To enhance understanding and improve clinical outcomes, we propose an international IMP registry to collect data on diagnosis, treatment, and fertility outcomes. This collaborative effort aims to inform evidence‐based guidelines, facilitating accurate early diagnosis and optimized patient care. |
| format | Article |
| id | doaj-art-b04d94d1c8ca464781ca0f230eb12dfe |
| institution | Kabale University |
| issn | 0001-6349 1600-0412 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acta Obstetricia et Gynecologica Scandinavica |
| spelling | doaj-art-b04d94d1c8ca464781ca0f230eb12dfe2025-08-20T03:31:24ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122025-08-0110481420142310.1111/aogs.70007A call for deeper insights into intramural pregnancy: An international data registrySimrit Nijjar0Cecilia Bottomley1Davor Jurkovic2EGA Institute for Women's Health, Faculty of Population Health Sciences University College London (UCL) London UKEGA Institute for Women's Health, Faculty of Population Health Sciences University College London (UCL) London UKEGA Institute for Women's Health, Faculty of Population Health Sciences University College London (UCL) London UKAbstract Intramural pregnancy (IMP) is a rare and potentially life‐threatening uterine ectopic pregnancy implanted within the myometrium. Despite its recognition as a distinct clinical entity, diagnostic challenges and a lack of standardized management protocols persist. IMP occurs when a gestational sac implants into the myometrium beyond the endometrial‐myometrial junction, often following uterine trauma. Diagnosis is hindered by non‐specific symptoms and frequent misclassification. While ultrasound is the primary diagnostic tool, magnetic resonance imaging (MRI) may be needed in unclear cases. Treatment options range from expectant management to surgical intervention, but no consensus exists on the optimal approach. To enhance understanding and improve clinical outcomes, we propose an international IMP registry to collect data on diagnosis, treatment, and fertility outcomes. This collaborative effort aims to inform evidence‐based guidelines, facilitating accurate early diagnosis and optimized patient care.https://doi.org/10.1111/aogs.70007diagnosisinternational registryintramural pregnancytreatmentuterine ectopic pregnancy |
| spellingShingle | Simrit Nijjar Cecilia Bottomley Davor Jurkovic A call for deeper insights into intramural pregnancy: An international data registry Acta Obstetricia et Gynecologica Scandinavica diagnosis international registry intramural pregnancy treatment uterine ectopic pregnancy |
| title | A call for deeper insights into intramural pregnancy: An international data registry |
| title_full | A call for deeper insights into intramural pregnancy: An international data registry |
| title_fullStr | A call for deeper insights into intramural pregnancy: An international data registry |
| title_full_unstemmed | A call for deeper insights into intramural pregnancy: An international data registry |
| title_short | A call for deeper insights into intramural pregnancy: An international data registry |
| title_sort | call for deeper insights into intramural pregnancy an international data registry |
| topic | diagnosis international registry intramural pregnancy treatment uterine ectopic pregnancy |
| url | https://doi.org/10.1111/aogs.70007 |
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