A case report of intramural pregnancy with uterine rupture: a warning signal from ineffective evacuation

We present a case of an undiagnosed intramural pregnancy that progressed from ineffective evacuation to uterine rupture. An emergency laparotomy was performed to remove the dead fetus and repair the uterine defect. Therefore, intramural pregnancy should be strongly considered in women with previous uterine trauma, who present with persistent pregnancies with IUDs and a history of ineffective evacuation.