Abstract
Objective: To report a case of mifepristone-induced abortion in only one horn but a growing fetus in another horn for a twin pregnancy in a bicornuate uterus. Design: Case report. Setting: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taiwan. Patient(s): A 31-year-old woman who conceived spontaneously presented with 37 days' gestation. Intervention(s): Mifepristone 600 mg orally followed by misoprostol 400 μg orally 2 days later. Main Outcome Measure(s): Termination of pregnancy. Result(s): Induced abortion in only one horn but a growing fetus in another horn for a twin pregnancy in the bicornuate uterus detected by ultrasound. Surgical abortion with vacuum curettage was performed, and menstruation resumed 1 month later. Conclusion(s): As medical abortion with mifepristone and misoprostol becomes more prevalent, more studies are necessary to establish the dosage and regimens for multiple pregnancies associated with uterine anomalies.
Original language | English |
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Pages (from-to) | 1764.e3-1764.e5 |
Journal | Fertility and Sterility |
Volume | 86 |
Issue number | 6 |
DOIs | |
State | Published - 12 2006 |
Externally published | Yes |
Keywords
- Bicornuate uterus
- abortion
- mifepristone
- misoprostol
- sonography