Hematometra after thermal balloon endometrial ablation in a patient with cervical incompetence.
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.
Duke Scholars
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Related Subject Headings
- Uterine Cervical Incompetence
- Surgery
- Pediatrics
- Menorrhagia
- Hyperthermia, Induced
- Humans
- Hematometra
- Female
- Catheterization
- Catheter Ablation
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Uterine Cervical Incompetence
- Surgery
- Pediatrics
- Menorrhagia
- Hyperthermia, Induced
- Humans
- Hematometra
- Female
- Catheterization
- Catheter Ablation