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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 8203649, 2 pages
Case Report

Medical First-Trimester Termination of Pregnancy with Massive Fibroid Uterus

Department of Obstetrics and Gynecology, Jackson Health System/University of Miami Miller School of Medicine, 1611 NW 12th Avenue, Miami, FL, USA

Correspondence should be addressed to Michael Saad-Naguib; gro.imaimshj@biugandaas.leahcim

Received 10 May 2017; Accepted 27 August 2017; Published 2 October 2017

Academic Editor: Yoav Peled

Copyright © 2017 Michael Saad-Naguib et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


First-trimester termination of pregnancy by medical or surgical route is highly effective with a low complication rate. Uterine abnormalities can complicate a procedure due to distortion of normal anatomy. In this case presentation, medical termination of pregnancy is performed using fetal intracardiac potassium chloride injection and intramuscular methotrexate.