Medical Case Studies

  • Abbreviation: Med. Case Stud.
  • Language: English
  • ISSN: 2141-6532
  • DOI: 10.5897/MCS
  • Start Year: 2010
  • Published Articles: 40

Case Report

Pregnancy following endometrial ablation resulting in subtotal hysterectomy under spinal anaesthesia – A case report

Menelik Lee
  • Menelik Lee
  • Obstetrics and Gynaecology, St Mary’s Hospital, Isle of Wight, UK.
  • Google Scholar
Nicholas Kenney
  • Nicholas Kenney
  • Obstetrics and Gynaecology, St Mary’s Hospital, Isle of Wight, UK.
  • Google Scholar


  •  Accepted: 19 March 2013
  •  Published: 30 May 2013

Abstract

 

A 44-year-old woman presented in her second pregnancy following a cavaterm balloon endometrial ablation three years earlier. Antenatal scans showed a fibroid measuring 11 × 7.5 × 8.2 cm in the lower segment. The placenta was fundal positioned and the baby’s growth was normal. At 32 weeks, a magnetic resonance imaging (MRI) scan excluded placenta percreta but was unable to exclude placenta accreta. At 37 weeks, she was in labour with a transverse presentation. The baby was born with good apgars and weighed 2970 g. The fibroid was removed. She recovered well and histology described a leiomyoma and myometrial hyperplasia. There was no evidence of placenta accreta.

 

Key words: Pregnancy, endometrial ablation, antenatal scans, fibroid.