Pregnancy termination via laparotomy in a woman with bicornuate uterus.

BACKGROUND

Müllerian anomalies increase the potential for complications during pregnancy termination. We present an unusual complication of abortion in a patient with a bicornuate uterus.

CASE: We present a case of failed medical and surgical abortion in a woman with a bicornuate uterus. A hysteroscopy was performed, but the pregnant horn could not be entered due to a cervical septum. Laparotomy and hysterotomy were required to complete the abortion.

CONCLUSION

Standard approaches to surgical abortion can fail in cases of uterine anomaly, and surgical versatility is required. Laparotomy and hysterotomy should be reserved for the most difficult and rare instances of failed abortion.