title: Uterine Scar Dehiscence Associated with Misoprostol Cervical Priming for Surgical Abortion: A Case Report.
abstract: BACKGROUND
  Cervical priming prior to pregnancy termination is a common treatment. Both osmotic agents such as laminaria and Dilapan or pharmacologic agents such as misoprostol and mifepristone have been used for this purpose.
  
  
  METHODS
  A 30-year-old patient with a previous cesarean delivery was undergoing surgical termination of pregnancy at 13 weeks' gestation for a lethal fetal malformation. During preoperative cervical priming with misoprostol the uterine scar dehisced. Interval laparoscopic repair was performed.
  
  
  CONCLUSIONS
  Uterine scar dehiscence can occur with misoprostol preoperative cervical priming for second trimester surgical termination of pregnancy.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Stitely
authors.forename: Sue
authors.initials: S
authors.lastname: Craw
authors.forename: Enrique
authors.initials: E
authors.lastname: Africano
authors.forename: Rosemary
authors.initials: R
authors.lastname: Reid
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000009:adverse effects*; D000028:Abortion, Induced / Q000379:methods*; D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix; D005260:Female; D006801:Humans; D016595:Misoprostol / Q000009:adverse effects*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D013529:Surgical Wound Dehiscence / Q000139:chemically induced*; D014597:Uterine Rupture / Q000139:chemically induced*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol