Uterine Rupture During Induced Abortion in the Second Trimester.

Termination of pregnancy (TOP) in the second trimester accounts for less than 10% of all abortion procedures. Although it can be obtained by a surgical procedure, medical TOP is an effective and safe option. Prostaglandins have been used for cervical ripening in the second trimester but in the presence of uterine scars, the risk of uterine rupture rises. Given the increasing rate of cesarean deliveries worldwide, it is important to be aware of the risks associated with TOP in women with previous uterine scars. We describe a rare case, in a patient with a prior cesarean delivery, of a uterine rupture in a TOP at 20 weeks with a regimen of mifepristone-misoprostol and sulprostone.