Potassium Permanganate Necrosis of the Vagina

A 19-year-old woman was referred to our emergency department for massive vaginal hemorrhage following an attempted clandestine abortion by intravaginal instillation of potassium permanganate crystals. Primigravida, she 7 weeks pregnant and had no particular pathological history. Upon admission, in hemorrhagic shock with blood pressure at 7/3 mmHg tachycardia 152 bpm. Pelvic examination revealed active bleeding from the right wall. The cervix vulva were normal. Mechanical hemostasis using a sterile gauze pad mounted on long forceps directly applied same time as resuscitative management. After 3 minutes compression, achieved necrotic lesions appeared