A rare gynecologic contraindication to the use of prostaglandins and oxytocin to induce abortion. A case report.
Premature rupture of the membranes was diagnosed in a 27-year-old nullipara at 24 weeks' gestation. Medical induction of abortion (because of sepsis) was attempted and failed. The products of conception were removed surgically per vagina; that procedure was followed by an intractable hemorrhage. Subtotal hysterectomy and repair of the left common iliac artery and vein were performed to stop the bleeding. In retrospect the case was diagnosed as a left ligamentary ectopic pregnancy with uterine rupture and erosion of the left common iliac vessels.
Markos
A R
AR
Department of Obstetrics and Gynaecology, Walsgrave Hospital, Coventry, England.
D000032:Abortion, Therapeutic; D000328:Adult; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D010121:Oxytocin / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications* / Q000175:diagnosis; D011458:Prostaglandins E / Q000627:therapeutic use
D011458:Prostaglandins E; D010121:Oxytocin