Document Detail


Hematometra after thermal balloon endometrial ablation in a patient with cervical incompetence.
MedLine Citation:
PMID:  11642669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S R Hubert; P S Marcus; J M Rothenberg; J M Schilder; W W Hurd
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  11     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-10-19     Completed Date:  2002-02-21     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Indiana School of Medicine, Indianapolis, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Balloon Dilatation / methods*
Catheter Ablation / methods*
Female
Hematometra / etiology*
Humans
Hyperthermia, Induced
Menorrhagia / therapy*
Uterine Cervical Incompetence / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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