ARTIFICIAL ABORTION BY POTASSIUM CHLORIDE INJECTION FOR A PATIENT WITH CERVICAL STENOSIS AFTER CERVICAL CONIZATION

Abstract

A patient who had cervical conization performed due to carcinoma in situ of uterine cervix performed wished to undergo an artificial abortion. However, cervical stenosis and deformation prevented the probe from passing through the cervical canal, and the external os was unclear. Assisted by transvaginal ultrasonic echo, we injected potassium chloride to the fetus. Most of contents of the uterus were exhausted by postoperative day 4. By transvaginal ultrasonic echo checked at postoperative day 9, no contents were recognized in the uterine cavity. The human chorionic gonadotropin level from a urinary test was ascertained as under 50 IU/1. There has been no sign of recurrence of the carcinoma for 5 years, indicating that this method is available when there are no other safer treatments, as in this case for example.