Abstract
We describe an unusual case of uterine rupture caused by intra-amniotic ethacridine used for second trimester pregnancy termination. Ultrasound revealed no amniotic sac or fetal parts in the uterine cavity; instead, major parts of the dead fetus enclosed by membranous demarcation were found expulsed to the left side of the uterus. This membranous structure enclosing products of conception on one side of the uterus was detected by ultrasound and turned out to be the broad ligament. Uterine rupture was confirmed at surgery, and the fetus was expelled into the broad ligament through the lateral wall. The ultrasound findings may help to confirm this rare type of uterine rupture.
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