Lazenby Gweneth B, Huang Christopher, Rahall Ann M, Fogelson Nicholas S
Department of Obstetrics and Gynecology University of Hawaii, Honolulu, HI 96826, USA.
Contraception. 2007 Mar;75(3):241-3. doi: 10.1016/j.contraception.2006.10.007. Epub 2007 Jan 16.
Müllerian anomalies increase the potential for complications during pregnancy termination. We present an unusual complication of abortion in a patient with a bicornuate uterus.
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.
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.
