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Re: Rupture uterus at 8 weeks after misoprostolFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Jun 30 05:57:15 2000
EIGHT WEEKS!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! C'mon now, there has to have been something else present. That uterus is nearly as thick as a non pregnant one. Has anyone ever heard of a uterine rupture at eight weeks before this??????? Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 <http://www.allexperts.com/displayExpert.asp?Expert=1236> -----Original Message----- From: Rupak Ranjan Roy [mailto:rupakray@caltiger.com] Sent: Thursday, June 29, 2000 9:04 PM To: Multiple recipients of list OB-GYN-L Subject: Rupture uterus at 8 weeks after misoprostol A case report has been published in the June issue of British Journal of Obs. and Gynae (called BJOG nowadays) describing the rupture of uterus after misoprostol in a UK hospital. We do not have the scope to use misoprostol as it is not available in our country. But this may stimulate some discussion amongst those who use it regularly. Briefly, A 36 year old woman with one previous caesarean section and one vaginal delivery requested termination of pregnancy at 8 weeks (gestation confirmed by ultrasound scan). She was given 800 microgram of misoprostol to prepare the cervix before surgical evacuation. After 2 and a half hours she had severe lower abdominal pain and profuse vaginal bleeding. At laparotomy it was found that the scar had ruptured with division of both the uterine arteries. A subtotal hysterectomy was carried out.
-- Rupak Ranjan Roy MRCOG
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