Second trimester medical abortion in a woman with prior classical caesarean section and a uterine leiomyoma--a case report.

Autor: Seto MT; Department of Obstetrics and Gynaecology, Queen Mary Hospital, University of Hong Kong , Hong Kong., Ngu SF, Cheung VY, Pun TC
Jazyk: angličtina
Zdroj: The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception [Eur J Contracept Reprod Health Care] 2013 Oct; Vol. 18 (5), pp. 410-4. Date of Electronic Publication: 2013 May 22.
DOI: 10.3109/13625187.2013.797072
Abstrakt: Background: Medical abortion in women with the scar of a classical caesarean section (CS) and a large uterine leiomyoma is rarely attempted; it carries the risk of uterine rupture and haemorrhage.
Case: A 34-year-old multiparous woman with prior classical CS and a 14 × 10 × 9 cm leiomyoma arising from the uterine isthmus had an induced abortion at 14 weeks' gestation. Mechanical cervical priming with Dilapan(®)-S followed by vaginal misoprostol administration resulted in the uncomplicated expulsion of the uterine contents.
Conclusions: An early second trimester medical abortion with misoprostol was successfully performed in a woman with prior classical CS and a large uterine leiomyoma.
Databáze: MEDLINE
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