Pyometra After Thermal Endometrial Ablation

BACKGROUND: Pyometra is a rare but serious complication after thermal endometrial ablation. CASE: A 48-year-old woman with type 2 diabetes and a prosthetic mitral valve underwent a thermal endometrial ablation for abnormal uterine bleeding. She subsequently developed pyometra that induced sepsis and cervical necrosis necessitating hysterectomy. CONCLUSION: The development of a pyometra after endometrial ablation is likely multifactorial.

[1]  Ted M. Roth,et al.  Tuboovarian Abscess: A Postoperative Complication of Endometrial Ablation , 2004, Obstetrics and gynecology.

[2]  E. Gill,et al.  Thermal Balloon Endometrial Ablation for Management of Acute Uterine Hemorrhage , 2002, Obstetrics and gynecology.

[3]  A. McCausland,et al.  Frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation: a 10-year follow-up. , 2002, American journal of obstetrics and gynecology.

[4]  G. Vilos,et al.  Thermal balloon endometrial ablation to treat menorrhagia in high-risk surgical candidates. , 1999, The Journal of the American Association of Gynecologic Laparoscopists.

[5]  G. Vilos,et al.  Endometrial ablation with a thermal balloon for the treatment of menorrhagia. , 1996, The Journal of the American Association of Gynecologic Laparoscopists.