Hematometra after thermal balloon endometrial ablation in a patient with cervical incompetence.

Journal Article

BACKGROUND: Thermal balloon endometrial ablation is a relatively safe nonsurgical treatment for menorrhagia. Hematometra follows this procedure in <3 % of patients, but risk factors for this complication are unclear. CASE: A woman with a history of cervical incompetence during pregnancy later developed cervical occlusion and hematometra after thermal balloon endometrial ablation. Cervical occlusion did not recur after cervical dilatation and temporary placement of a catheter as a stent. CONCLUSION: The normal resistance of the internal cervical os may be an important factor in avoiding thermal damage to the cervix during thermal balloon endometrial ablation. This case suggests that a history of cervical incompetence may be a clinical indicator of decreased cervical resistance.

Full Text

Duke Authors

Cited Authors

  • Hubert, SR; Marcus, PS; Rothenberg, JM; Schilder, JM; Hurd, WW

Published Date

  • October 1, 2001

Published In

Volume / Issue

  • 11 / 5

Start / End Page

  • 311 - 313

PubMed ID

  • 11642669

Electronic International Standard Serial Number (EISSN)

  • 1557-9034

International Standard Serial Number (ISSN)

  • 1092-6429

Digital Object Identifier (DOI)

  • 10.1089/109264201317054627

Language

  • eng