Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature

Misoprostol, a synthetic analogue of prostaglandin E1, is commonly used in gynecology, particularly in combination with mifepristone for elective abortion. Although its use is widespread, the potential teratogenic effects of misoprostol in cases of failed medical abortion have not been sufficiently...

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Main Authors: Hiba Ben Abdelhafidh, Oumayma Ben Rejeb, Nour Rouis, Badra Bannour, Neila Fathallah, Imen Bannour
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324010793
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author Hiba Ben Abdelhafidh
Oumayma Ben Rejeb
Nour Rouis
Badra Bannour
Neila Fathallah
Imen Bannour
author_facet Hiba Ben Abdelhafidh
Oumayma Ben Rejeb
Nour Rouis
Badra Bannour
Neila Fathallah
Imen Bannour
author_sort Hiba Ben Abdelhafidh
collection DOAJ
description Misoprostol, a synthetic analogue of prostaglandin E1, is commonly used in gynecology, particularly in combination with mifepristone for elective abortion. Although its use is widespread, the potential teratogenic effects of misoprostol in cases of failed medical abortion have not been sufficiently explored in the medical literature. Severe congenital malformations, although rare, have been reported, raising concerns about the impact of this drug on fetal development. We present a rare case of femoral agenesis observed in a woman who experienced a failed medical abortion with Misoprostol (Cytotec®), highlighting the need for a better understanding of the risks associated with fetal exposure to this drug and the implementation of rigorous follow-up measures after its use.
format Article
id doaj-art-186105d0644a4c5ebbcae957027bd35e
institution OA Journals
issn 1930-0433
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-186105d0644a4c5ebbcae957027bd35e2025-08-20T01:47:59ZengElsevierRadiology Case Reports1930-04332025-01-0120115816110.1016/j.radcr.2024.09.133Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literatureHiba Ben Abdelhafidh0Oumayma Ben Rejeb1Nour Rouis2Badra Bannour3Neila Fathallah4Imen Bannour5University of Sousse, Faculty of Medicine of Sousse, Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, TunisiaUniversity of Sousse, Faculty of Medicine of Sousse, Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, TunisiaUniversity of Sousse, Faculty of Medicine of Sousse, Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, TunisiaUniversity of Sousse, Faculty of Medicine of Sousse, Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, Tunisia; Corresponding author.University of Sousse, Department of Pharmacology, Faculty of Medicine of Sousse, TunisiaUniversity of Sousse, Faculty of Medicine of Sousse, Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, TunisiaMisoprostol, a synthetic analogue of prostaglandin E1, is commonly used in gynecology, particularly in combination with mifepristone for elective abortion. Although its use is widespread, the potential teratogenic effects of misoprostol in cases of failed medical abortion have not been sufficiently explored in the medical literature. Severe congenital malformations, although rare, have been reported, raising concerns about the impact of this drug on fetal development. We present a rare case of femoral agenesis observed in a woman who experienced a failed medical abortion with Misoprostol (Cytotec®), highlighting the need for a better understanding of the risks associated with fetal exposure to this drug and the implementation of rigorous follow-up measures after its use.http://www.sciencedirect.com/science/article/pii/S1930043324010793MisoprostolTeratogenicityFemoral agenesisFollow-up ultrasound
spellingShingle Hiba Ben Abdelhafidh
Oumayma Ben Rejeb
Nour Rouis
Badra Bannour
Neila Fathallah
Imen Bannour
Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature
Radiology Case Reports
Misoprostol
Teratogenicity
Femoral agenesis
Follow-up ultrasound
title Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature
title_full Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature
title_fullStr Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature
title_full_unstemmed Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature
title_short Teratogenic effect of Misoprostol following failure of elective abortion: A case of femoral agenesis and review of the literature
title_sort teratogenic effect of misoprostol following failure of elective abortion a case of femoral agenesis and review of the literature
topic Misoprostol
Teratogenicity
Femoral agenesis
Follow-up ultrasound
url http://www.sciencedirect.com/science/article/pii/S1930043324010793
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