Second trimester medical abortion in a woman with prior classical caesarean section and a uterine leiomyoma – A case report

Abstract

Background Medical abortion in women with the scar of a classical caesarean section (CS) and a large uterine leiomyoma is rarely attempted; it carries the risk of uterine rupture and haemorrhage.

Case A 34-year-old multiparous woman with prior classical CS and a 14 × 10 × 9 cm leiomyoma arising from the uterine isthmus had an induced abortion at 14 weeks’ gestation. Mechanical cervical priming with Dilapan^®-S followed by vaginal misoprostol administration resulted in the uncomplicated expulsion of the uterine contents.

Conclusions An early second trimester medical abortion with misoprostol was successfully performed in a woman with prior classical CS and a large uterine leiomyoma.

KEYWORDS:

• Second trimester abortion
• Classical caesarean section
• Leiomyoma
• Dilapan^®
• Misoprostol

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