Bowel injury from rollerball ablation of the endometrium.
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.
Kivnick
S
S
Department of Obstetrics-Gynecology, Kaiser Foundation Hospital, West Los Angeles, California.
Kanter
M H
MH
D000328:Adult; D002058:Burns, Electric / Q000209:etiology; D004564:Electrocoagulation / Q000009:adverse effects* / Q000295:instrumentation; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000293:injuries*; D007416:Intestinal Perforation / Q000209:etiology; D007889:Leiomyoma / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery