Haematosalpinx and haematometra as long‐term complications of balloon endometrial ablation

Abstract

Objective To report the case histories of two patients who presented with haematometra and haematosalpinx 18 and 24 months after endometrial ablation. Design This is a retrospective case note analysis. Subjects A 51‐year‐old woman, who had undergone endometrial ablation 18 months previously, presented with acute abdominal pain. She was known to be taking continuous combined hormone replacement therapy. Pelvic ultrasound scan showed a large cystic mass, and diagnostic laparoscopy revealed a right haematosalpinx. She underwent right salpingectomy and was pain‐free after the operation. A 48‐year‐old woman presented with lower abdominal pain 2 years after endometrial balloon ablation. The ultrasound scan of the pelvis showed a haematometra (4.4 × 2.6 × 3.3 cm). She underwent examination under anaesthesia (EUA), dilation and drainage of the haematometra. A few weeks later she had a recurrence and underwent hysterectomy. Conclusion As more ablation procedures are performed, more delayed complications will arise.

Post-ablation tubal sterilization syndrome following microwave endometrial ablation

“…Since then, many authors have published cases of PTSS with different ablative methods [9][10][11]. Following our extensive literature search we find no reported case of PTSS to date in patients who had MEA.…”