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Published on: September 12, 2025
Pregnancy termination via laparotomy in a woman with bicornuate uterus
Gweneth B Lazenby1, Christopher Huang, Ann M Rahall
1Department of Obstetrics and Gynecology University of Hawaii, Honolulu, HI 96826, USA. gwenethbratton@yahoo.com
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.
