Failed early medical abortion: Beware of the uterine scar! – Case report

ABSTRACT

Objectives To increase awareness of the possible existence of a morbidly adherent placenta in case of failed early medical abortion.

Case We report a case of placenta increta which caused a massive haemorrhage during surgical aspiration following a failed medical abortion.

Conclusion Women with a history of caesarean section, who do not respond to a medical regimen for early termination of pregnancy should undergo an ultrasound examination to establish whether this may be due to a placenta accreta, increta or percreta.

KEYWORDS:

• First trimester abortion;
• Medical abortion
• Haemorrhage;
• Placenta increta

Declaration of interest: The authors report no conflict of interest. The authors alone are responsible for the content and the writing of the paper.