title: Second trimester medical abortion in a woman with prior classical caesarean section and a uterine leiomyoma--a case report.
abstract: 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.
  
  
  METHODS
  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.
authors.affiliation: Department of Obstetrics and Gynaecology, Queen Mary Hospital, University of Hong Kong , Hong Kong.
authors.forename: Mimi T Y
authors.initials: MT
authors.lastname: Seto
authors.forename: Siew-Fei
authors.initials: SF
authors.lastname: Ngu
authors.forename: Vincent Y T
authors.initials: VY
authors.lastname: Cheung
authors.forename: Ting-Chung
authors.initials: TC
authors.lastname: Pun
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000032:Abortion, Therapeutic; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix / Q000150:complications* / Q000209:etiology; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000000981:diagnostic imaging; D016595:Misoprostol / Q000627:therapeutic use; D011108:Polymers / Q000627:therapeutic use; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging*; D011262:Pregnancy Trimester, Second; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D011108:Polymers; D016595:Misoprostol; C077755:dilapan