Septic abortion with placenta accreta in pregnancy after endometrial ablation

Lisa A. Gill, Elizabeth Baldwin, Collette Lessard-Anderson, Wendy White

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Background: 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. CASE: 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. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)822-824
Number of pages3
JournalObstetrics and gynecology
Volume125
Issue number4
DOIs
StatePublished - Apr 24 2015
Externally publishedYes

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