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Failed first trimester pregnancy termination: Uterine anomaly as etiologic factor
Author(s) -
Pennes David R.,
Bowerman Richard A.,
Silver Terry M.,
Smith Steven J.
Publication year - 1987
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870150303
Subject(s) - medicine , products of conception , pregnancy , curettage , abortion , gestation , complication , therapeutic abortion , obstetrics , ectopic pregnancy , gynecology , surgery , genetics , biology
Failure of first trimester pregnancy termination is an uncommon, although potentially serious complication of attempted therapeutic abortion. We report our experience in four patients with unsuspected congenital uterine anomalies in whom attempted pregnancy termination procedures failed to completely ablate the products of conception. When dilatation and curettage fails to produce embryonic tissue, sonography is indicated to exclude ectopic gestation or uterine anomaly. In patients who are known to have anomalous uteri, intraoperative real‐time guidance may increase the success of pregnancy termination procedures and decrease the incidence of retained products of conception.