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Case report| Volume 75, ISSUE 3, P241-243, March 2007

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Pregnancy termination via laparotomy in a woman with bicornuate uterus

      Abstract

      Background

      M��llerian anomalies increase the potential for complications during pregnancy termination. We present an unusual complication of abortion in a patient with a bicornuate uterus.

      Case

      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.

      Conclusion

      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.

      Keywords

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