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

S R Hubert; Stanley R. Hubert; Peter S. Marcus; P S Marcus; J M Rothenberg; Jeffrey M. Rothenberg; Jeanne M. Schilder; J M Schilder; William W. Hurd; W W Hurd

doi:10.1089/109264201317054627

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

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

Journal of laparoendoscopic & advanced surgical techniques. Part A · 2001 · vol. 11(5) , pp. 311–313 · doi:10.1089/109264201317054627 · PMID:11642669 · W2133674147

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This case report describes a patient with a history of cervical incompetence who developed hematometra after thermal balloon endometrial ablation, suggesting cervical incompetence may indicate decreased cervical resistance and increased risk.

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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.

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MeSH descriptors

Catheter Ablation Catheterization Hematometra Menorrhagia Adult Catheter Ablation Catheterization Female Hematometra Humans Hyperthermia, Induced Menorrhagia Uterine Cervical Incompetence Uterine Cervical Incompetence

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

References (7)

Laser photovaporization of endometrium for the treatment of menorrhagia via openalex
Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi-centre study. International Collaborative Uterine Thermal Balloon Working Group via openalex
doi:10.1016/s0029-7844(98)00141-0 via openalex
doi:10.1016/s0015-0282(16)46455-1 via openalex
doi:10.1016/s1074-3804(96)80317-3 via openalex
doi:10.1067/mob.2000.106851 via openalex
doi:10.1016/0002-9378(92)91657-v via openalex

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[1] Laser photovaporization of endometrium for the treatment of menorrhagia 1981

[2] Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi-centre study. International Collaborative Uterine Thermal Balloon Working Group 1998