Post by European Journal Obstetrics and Gynecology (EJOG)

Evidence-based management of intramural pregnancy: A comprehensive systematic review. Intramural pregnancy (IMP) is a rare and potentially life-threatening form of ectopic pregnancy, representing less than 1 % of all ectopic cases. Its diagnosis is challenging, and currently no standardized guidelines exist for its management. Highlights •Largest systematic review of intramural pregnancy to date (71 studies analyzed) •Proposed algorithm to guide management based on imaging and clinical criteria. •Subserosal features strongly predict medical treatment failure. •β-hCG > 20,000 or GS > 30 mm linked to increased risk of surgical intervention. •Residual myometrial thickness <4 mm may indicate need for surgery. https://lnkd.in/gDucA_kd for full study and treatment algorithm. Salvatore Giovanni Vitale Guglielmo Stabile Francesco Cracco stefania carlucci Stefania Saponara Stefano Di Michele Stefano Angioni MD PhD Luigi Nappi