Abstract
The use of misoprostol in the second trimester by a woman with a uterine scar may lead to severe contractions and uterine rupture. We report a 24-year-old pregnant female patient who presented at the Emergency Department at a tertiary care hospital in Puducherry, India, in 2020 with haemorrhagic shock. She was at 16 weeks of gestation and had taken over the counter misoprostol for inducing an abortion. A quick initial resuscitation and urgent laparotomy were performed. An irreparable circumferentially avulsed uterus suspended only by round ligaments was noted. Haemostasis required internal artery ligation and immediate total hysterectomy. The patient was doing well upon follow-up six months after the surgery. Proper and supervised use of misoprostol in the appropriate dosage can avoid life-threatening consequences of uterine rupture.
Publication details
- DOI
- 10.18295/squmj.4.2021.050
- Journal
- Sultan Qaboos University Medical Journal, 21(4), 657-659
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Jha, N., Sagili, H., Sharma, J., & Jha, A. K. (2025). A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion. Sultan Qaboos University Medical Journal, 21(4), 657-659. https://doi.org/10.18295/squmj.4.2021.050
MLA 9
Jha, Nivedita, et al. "A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion." Sultan Qaboos University Medical Journal, vol. 21, no. 4, 2025, pp. 657-659. https://doi.org/10.18295/squmj.4.2021.050.
Chicago (author–date)
Jha, Nivedita, Haritha Sagili, Jyotsna Sharma, and Ajay K. Jha. 2025. "A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion." Sultan Qaboos University Medical Journal 21 (4): 657-659. https://doi.org/10.18295/squmj.4.2021.050.
Harvard
Jha, N., Sagili, H., Sharma, J. and Jha, A. K. (2025) 'A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion', Sultan Qaboos University Medical Journal, 21(4), pp. 657-659. doi:10.18295/squmj.4.2021.050.
Vancouver
Jha N, Sagili H, Sharma J, Jha AK. A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion. Sultan Qaboos University Medical Journal. 2025;21(4):657-659. doi:10.18295/squmj.4.2021.050
IEEE
N. Jha, H. Sagili, J. Sharma, and A. K. Jha, "A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion," Sultan Qaboos University Medical Journal, vol. 21, no. 4, pp. 657-659, 2025, doi: 10.18295/squmj.4.2021.050.