Author/Authors :
Ersoy, Ali Özgür Zekai Tahir Burak Women’s Health Care Training and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Ersoy, Ebru Zekai Tahir Burak Women’s Health Care Training and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Esmer, Seda Bilir Zekai Tahir Burak Women’s Health Care Training and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Çelen, Şevki Zekai Tahir Burak Women’s Health Care Training and Research Hospital - Department of Obstetrics and Gynecology, Turkey , Uygur, Dilek Zekai Tahir Burak Women’s Health Care Training and Research Hospital - Department of Obstetrics and Gynecology, Turkey
Abstract :
A thirty-seven year-old multiparous (seven prior vaginal delivery) pregnant woman was referred because her fetus was diagnosed as Trisomy 21 via amniocentesis. The family chose the way of termination. Medical abortion with oxytocin was initiated. No significant cervical dilatation was observed until 8th hours. After 9 hours of induction, dead fetus was expulsed with its placenta and fetal membranes. Cervicovaginal exploration after abortion revealed that anterior cervical wall had ruptured towards anterior vaginal fornix, measuring 35x15 millimeters, window shaped, fetus and its appendices had expulsed from there. External cervical ostium was closed. It was learned that the patient had experienced no problem during prior vaginal deliveries. Rupture area was repaired. She had no problem in postoperative two days and was discharged healthily. Cervical resistance to dilatation might have caused such a rare complication, irrespective of any cause. It’s important to notice the extension of rupture and repair the wound.
