BACKGROUND: Uterine rupture after endometrial ablation is rare and has not been reported previously in the English literature.
CASE: A 33-year-old multigravida at 26 5/7 weeks of gestation had undergone two endometrial ablation procedures. The first attempt 2 years before pregnancy was complicated by uterine perforation. She presented with severe abdominal pain. A cesarean delivery was performed for recurrent late fetal heart rate deceleration, and a complete spontaneous uterine rupture was discovered.
CONCLUSION: Pregnancies that occur after endometrial ablation have a risk of morbidity. Physicians must counsel women on the importance of contraception or sterilization as a critical component of the procedure.
Uterine rupture is a rare potential obstetrical complication after endometrial ablation that further highlights the need for postprocedural contraceptive counseling.
From the University of Alabama at Birmingham, Center for Women's Reproductive Health, Department of Obstetrics/Gynecology, Birmingham, Alabama; and Pediatrix/Obstetrix Center for Research and Education, Texas Perinatal Group, San Antonio, Texas.
Corresponding author: Meaghan R. Bowling, MD, University of Alabama at Birmingham, Department of Obstetrics/Gynecology, 5th Floor Old Hillman Building, 619 19th Street South, Birmingham, AL 35216; e-mail: firstname.lastname@example.org.
Financial Disclosure The authors did not report any potential conflicts of interest.