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

Stanley R. Hubert, Peter S. Marcus, Jeffrey M. Rothenberg, Jeanne M. Schilder, William W. Hurd

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)311-313
Number of pages3
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume11
Issue number5
DOIs
StatePublished - Oct 1 2001

ASJC Scopus subject areas

  • Surgery

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