Use of an endotracheal tube for surgical abortion complicated by a leiomyomatous uterus: A case report

Christy M. Boraas, Catherine A. Chappell, Colleen M. Krajewski

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Background: Abnormal uterine anatomy, especially leiomyomas, can significantly impact the difficulty and potential morbidity of surgical uterine evacuation. To avoid hysterotomy and/or hysterectomy, limited evidence exists to guide surgical uterine evacuation when pregnancy tissue is inaccessible with routine instruments. Case presentation: A 41-year-old G4P1021 African American woman at 14 4/7 weeks' gestation was referred for surgical-induced abortion in the setting of an enlarged leiomyomatous uterus. Two large opposing leiomyomas at the internal cervical os rendered pregnancy tissue inaccessible with routine gynecologic surgical instruments. With ultrasound guidance, an endotracheal tube was connected to routine electric suction and utilized to complete uterine evacuation. Conclusions: With distorted or markedly enlarged uterine anatomy rendering pregnancy tissue inaccessible with routine surgical instruments, the minimally invasive use of an endotracheal tube may aid completion of uterine evacuation for surgical uterine evacuation.

Original languageEnglish (US)
Article number236
JournalJournal of medical case reports
Issue number1
StatePublished - Aug 25 2017



  • Abortion
  • Case reports
  • Curettage
  • Induced
  • Leiomyoma
  • Minimally invasive surgery

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