Case Report

First-trimester rupture of a scarred uterus after use of sublingual misoprostol: a case report

Authors: Ahmed M. Abbas (Department of Obstetrics and Gynecology, Faculty of Medicine; Assiut University, Assiut, Egypt) , Amera M. Sheha (Faculty of Medicine; Assiut University, Assiut, Egypt) , Reda S. Hussein (Department of Obstetrics and Gynecology, Faculty of Medicine; Assiut University, Assiut, Egypt) , Esraa Talaat (Faculty of Medicine; Assiut University, Assiut, Egypt) , Mostafa Nasr Ali (Department of Obstetrics and Gynecology, Faculty of Medicine; Assiut University, Assiut, Egypt)

  • First-trimester rupture of a scarred uterus after use of sublingual misoprostol: a case report

    Case Report

    First-trimester rupture of a scarred uterus after use of sublingual misoprostol: a case report

    Authors: , , , ,

Abstract

Uterine rupture is a disastrous obstetric complication, occurring mostly in the second and third trimesters. The risk of uterine rupture markedly increases with previous uterine surgeries. Termination of early pregnancy failure using misoprostol is common. However, its use in women with a scarred uterus is speculative and usually puts the obstetricians in a stressful situation. Here we present a case of rupture of a scarred uterus in the first trimester after sublingual misoprostol. A 35 years old multiparous woman presented with uterine rupture after administration of small doses of sublingual misoprostol for termination of early pregnancy failure. Immediate laparotomy was done and the defect was repaired. Termination of early pregnancy failure, in women with a scarred uterus, using sublingual misoprostol can lead to uterine rupture. Sublingual misoprostol should be used cautiously under close supervision or other routes (vaginal or oral) should be used instead.

Keywords: Uterine rupture, misoprostol, scarred uterus, maternal morbidity

How to Cite:

Abbas, A. M. & Sheha, A. M. & Hussein, R. S. & Talaat, E. & Ali, M. N., (2016) “First-trimester rupture of a scarred uterus after use of sublingual misoprostol: a case report”, Proceedings in Obstetrics and Gynecology 6(2), 1-6. doi: https://doi.org/10.17077/2154-4751.1317

Rights: Copyright © 2016 the authors

Downloads:
Download pdf
View PDF

697 Views

3550 Downloads

Published on
01 Jan 2016
Peer Reviewed
License
CC BY 4.0