Intramyometrial ectopic pregnancy-a rare case

Ectopic pregnancies comprise 1-2% of all the first trimester pregnancies. Out of this, 95% are tubal in origin and only 5% are non-tubal. We report a rare type of intramyometrial ectopic pregnancy for which less than 50 cases have been reported so far. A case of intramyometrial pregnancy in 35-year-old primigravida with no previous history of uterine trauma, which is thought to be the main culprit behind its pathophysiology. Effective management in this case preserved the uterus for future pregnancies. Follow up was done till ?- HCG levels returned to undetectable state.