Mifepristone-induced abortion in one horn and a growing fetus in another horn in a patient with a twin pregnancy in a bicornuate uterus.
OBJECTIVE
To report a case of mifepristone-induced abortion in only one horn but a growing fetus in another horn for a twin pregnancy in a bicornuate uterus.


METHODS
Case report.


METHODS
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taiwan.


METHODS
A 31-year-old woman who conceived spontaneously presented with 37 days' gestation.


METHODS
Mifepristone 600 mg orally followed by misoprostol 400 mug orally 2 days later.


METHODS
Termination of pregnancy.


RESULTS
Induced abortion in only one horn but a growing fetus in another horn for a twin pregnancy in the bicornuate uterus detected by ultrasound. Surgical abortion with vacuum curettage was performed, and menstruation resumed 1 month later.


CONCLUSIONS
As medical abortion with mifepristone and misoprostol becomes more prevalent, more studies are necessary to establish the dosage and regimens for multiple pregnancies associated with uterine anomalies.
Chao
Angel
A
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.
Chao
An-Shine
AS
Wang
Shih-Tíen
ST
Wang
Tzu-Hao
TH
D000028:Abortion, Induced; D000328:Adult; D005260:Female; D006801:Humans; D015735:Mifepristone; D011247:Pregnancy; D011272:Pregnancy, Multiple / Q000187:drug effects*; D016896:Treatment Outcome; D014427:Twins; D014599:Uterus / Q000002:abnormalities* / Q000187:drug effects*; D014619:Vacuum Curettage
D015735:Mifepristone