title: Uterine anomalies and failed surgical termination of pregnancy: the role of routine preoperative transvaginal sonography.
abstract: Although used extensively in the assessment of many gynecological conditions, transvaginal ultrasonography is not performed routinely prior to termination of pregnancy in the UK. We describe a case in which surgical evacuation of the uterus failed. Postoperatively, transvaginal ultrasonography demonstrated a bicornuate uterus with a viable pregnancy within the left horn. Subsequent medical termination of pregnancy was successful. This case shows the potential value of transvaginal ultrasonography prior to termination of pregnancy. A prospective trial is needed to assess whether its routine introduction into clinical practice will lead to a reduction in morbidity resulting from termination.
authors.affiliation: Department of Obstetrics and Gynaecology, St George's Hospital Medical School, London, UK.
authors.forename: K
authors.initials: K
authors.lastname: Jermy
authors.forename: O
authors.initials: O
authors.lastname: Oyelese
authors.forename: T
authors.initials: T
authors.lastname: Bourne
mesh_terms: D000019:Abortifacient Agents; D000029:Abortion, Legal / Q000379:methods*; D000328:Adult; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods; D015735:Mifepristone; D016595:Misoprostol; D011247:Pregnancy; D011300:Preoperative Care / Q000379:methods*; D017211:Treatment Failure; D016216:Ultrasonography, Prenatal / Q000379:methods*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D014619:Vacuum Curettage / Q000379:methods*; D014621:Vagina
chemical_list: D000019:Abortifacient Agents; D016595:Misoprostol; D015735:Mifepristone