Bowel injury from rollerball ablation of the endometrium.
case_report · Level V
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- Record sourced from PubMed, PMID 1565382.
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Abstract
A woman underwent apparently uneventful rollerball endometrial ablation but presented with an acute abdomen 2 days later. At laparotomy, a large uterine serosal burn was found and a nearby loop of ileum contained two small injuries: a serosal burn and a perforation. The ileal injuries were oversewn and the patient recovered. Pathologic examination of the uterus showed full-thickness coagulative myometrial necrosis but no uterine perforation. More experience is needed to establish the incidence of this complication.
Medical subject headings
- Electrocoagulation
- Endometrium
- Ileum