Abstract: Medical abortion should be performed in a qualified medical institution. Although serious complications of medical abortion are rare, they could be emerged due to non-standard medical abortion. We reported a case of the uterine rupture and small intestine fistula with abdominal infection due to herself medication abortion in this paper. This case told us that medical staff should pay attention to the standard of medical abortion, and that the public should improve their knowledge on the complications of medical abortion. The non-standard medical abortion could lead to serious complications which even endanger the life safety. We concluded that medical staff should strictly follow the indications and contraindications of medical abortion, and that medical abortion should be done in those medical institutions with rescue condition, so as to avoid the serious complications like this case.

Key words: Uterine rupture, Abortion, induced, Pelvic infection, Case report