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Pyometra After Thermal Endometrial Ablation

Schlumbrecht, Matthew MD1; Balgobin, Sunil MD1; Word, Larry MD1

doi: 10.1097/01.AOG.0000271213.60872.be
Case Reports

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: mpschl@parknet.pmh.org.

Financial Disclosure The authors have no potential conflicts of interest to disclose.

© 2007 The American College of Obstetricians and Gynecologists