Septic abortion with placenta accreta in pregnancy after endometrial ablation

Obstetrics and Gynecology
Lisa A GillWendy White

Abstract

Pregnancy after endometrial ablation is a rare event, occurring in approximately 0.7% of cases. When it occurs, serious complications may be anticipated for both mother and fetus, including abnormal placentation. Termination of pregnancy in these cases is a challenging issue, made more so by the lack of availability of these services. We report a case of pregnancy after endometrial ablation complicated by placenta accreta. Initiation of a second-trimester termination procedure with lethal fetal injection resulted in subsequent septic abortion necessitating abdominal hysterectomy. Pregnancy after endometrial ablation is a rare and potentially morbid event. Patients should be counseled about the necessity of contraception at the time of endometrial ablation. Termination should be approached with caution and requires the availability of skilled providers.

References

Jul 30, 2003·Obstetrical & Gynecological Survey·Jennifer R Cook, Elvis I Seman
Apr 9, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A A Hare, K S Olah
Mar 11, 2006·Journal of Minimally Invasive Gynecology·Jenny S Y Lo, Andrew Pickersgill

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Citations

Sep 28, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·J R KohnK A Fox

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