Pregnancy termination via laparotomy in a woman with bicornuate uterus.
BACKGROUND
Müllerian anomalies increase the potential for complications during pregnancy termination. We present an unusual complication of abortion in a patient with a bicornuate uterus.


METHODS
We present a case of failed medical and surgical abortion in a woman with a bicornuate uterus. A hysteroscopy was performed, but the pregnant horn could not be entered due to a cervical septum. Laparotomy and hysterotomy were required to complete the abortion.


CONCLUSIONS
Standard approaches to surgical abortion can fail in cases of uterine anomaly, and surgical versatility is required. Laparotomy and hysterotomy should be reserved for the most difficult and rare instances of failed abortion.
Lazenby
Gweneth B
GB
Department of Obstetrics and Gynecology University of Hawaii, Honolulu, HI 96826, USA. gwenethbratton@yahoo.com
Huang
Christopher
C
Rahall
Ann M
AM
Fogelson
Nicholas S
NS
D000028:Abortion, Induced; D000293:Adolescent; D005260:Female; D006801:Humans; D020883:Hysterotomy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D011247:Pregnancy; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities*