Document Detail

Oral misoprostol and uterine rupture in the first trimester of pregnancy: a case report.
MedLine Citation:
PMID:  15982851     Owner:  NLM     Status:  MEDLINE    
We are reporting the case of a woman with 8 weeks of amenorrhea who orally received a single dose of misoprostol 400 microg at midnight for ripening of cervix before uterine evacuation of an intrauterine gestational sac containing a single fetus (6.3 weeks of gestation) without cardiac activity. The patient had severe abdominal pain an hour later. Her blood pressure was 70/40 mmHg and her abdomen was slightly distended with direct and rebound tenderness. A transvaginal ultrasonography showed a 3-cm depth of a free fluid collection in the rectouterine pouch. Her hemoglobin and hematocrit levels were of 6.5 g/dL and 18.4%, respectively. A rupture of 1.5 cm at the left uterine horn with a protruding gestational sac was identified by laparoscopy. The gestational sac was removed and hemoperitoneal collection were successfully drained. The site of uterine rupture was primarily sutured and postoperative course was satisfactory. In summary, misoprostol administered in the first trimester of pregnancy may produce uterine rupture.
Joo Oh Kim; Jung Yeol Han; June Seek Choi; Hyun Kyong Ahn; Jae Hyug Yang; Inn Soo Kang; Mi Jin Song; Alejandro A Nava-Ocampo
Publication Detail:
Type:  Journal Article     Date:  2005-06-27
Journal Detail:
Title:  Reproductive toxicology (Elmsford, N.Y.)     Volume:  20     ISSN:  0890-6238     ISO Abbreviation:  Reprod. Toxicol.     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2005-10-03     Completed Date:  2006-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803591     Medline TA:  Reprod Toxicol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  575-7     Citation Subset:  IM    
The Department of Obstetrics and Gynaecology, Samsung Cheil Hospital & Women's Health-care Center, Sungkyunkwan University School of Medicine, 1-19 Mookjung Dong, Choong Gu, Seoul 100-380, Republic of Korea.
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MeSH Terms
Abdominal Pain / etiology*
Administration, Oral
Misoprostol / administration & dosage,  adverse effects*
Oxytocics / administration & dosage,  adverse effects*
Pregnancy Trimester, First
Uterine Rupture / etiology*
Reg. No./Substance:
0/Oxytocics; 59122-46-2/Misoprostol
Comment In:
Reprod Toxicol. 2006 Apr;21(3):223; author reply 224   [PMID:  16316741 ]

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