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.
Pyometra is a serious complication of thermal balloon ablation with a likely multifactorial cause.
From the 1Department of Obstetrics and Gynecology, University of Texas-Southwestern Medical Center, Dallas, Texas.
Corresponding author: Matthew Schlumbrecht, MD, 5323 Harry Hines Boulevard, Dallas, TX 75204; e-mail: firstname.lastname@example.org.
Financial Disclosure The authors have no potential conflicts of interest to disclose.