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Uterine anomalies and failed surgical termination of pregnancy: the role of routine preoperative transvaginal sonography
Author(s) -
Jermy K.,
Oyelese O.,
Bourne T.
Publication year - 1999
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1999.14060431.x
Subject(s) - medicine , bicornuate uterus , pregnancy , ultrasonography , obstetrics , obstetrics and gynaecology , uterus , gynecology , surgery , genetics , biology
Abstract Although used extensively in the assessment of many gynecological conditions, transvaginal ultrasonography is not performed routinely prior to termination of pregnancy in the UK. We describe a case in which surgical evacuation of the uterus failed. Postoperatively, transvaginal ultrasonography demonstrated a bicornuate uterus with a viable pregnancy within the left horn. Subsequent medical termination of pregnancy was successful. This case shows the potential value of transvaginal ultrasonography prior to termination of pregnancy. A prospective trial is needed to assess whether its routine introduction into clinical practice will lead to a reduction in morbidity resulting from termination. Copyright © 1999 International Society of Ultrasound in Obstetrics and Gynecology