PIP: Case report of a healthy 15-year old female with an 18-week pregnancy who underwent a therapeutic abortion induced by intraamniotic injection of hypertonic saline. She suffered the most dangerous of the complications reported after hypertonic saline-induced abortion: an acute hypernatremic state. Marked shifts of the body fluids were triggered by the infusion of hypertonic saline, which rapidly gained access to the maternal circulation. Systemic injury and especially cerbral edema, pulmonary edema, and renal failure followed. Management was supportive of cerebral, cardiopulmonary, and renal function, and the patient recovered.