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Cuadernos de Medicina Forense

On-line version ISSN 1988-611XPrint version ISSN 1135-7606


GARAMENDI GONZALEZ, PM.  and  LANDA TABUYO, MI.. Misoprostol as an abortive in Spain: Report of a judicial autopsy case. Cuad. med. forense [online]. 2004, n.38, pp.27-36. ISSN 1988-611X.

Misoprostol is a drug commercialized in Spain as a gastric protector. Nowadays it is sold in our country also associated with diclofenac to prevent gastric damages produced by anti-inflammatories. During the last few years, there has been a public debate in medical press about the fact that Misoprostol has also proved to be an excellent abortive. Nevertheless, when it is not properly used Misoprostol can be the cause of severe damages to the fetus and the mother. This Prostaglandin E1 analog is a drug rapidly metabolized in humans and it is not easy to identify in toxicological analyses. This is the main bias when trying to identify it in forensic cases of accidental damages after using it as a gastric protector or voluntary administration as an abortive. We present a case report about a forensic autopsy following a possible Misoprostol induced abortion.

Keywords : Abortion; ethics; fetal malformation; Misoprostol; toxicological identification.

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