title: Hematosalpinx with pelvic pain after endometrial ablation confirms the postablation-tubal sterilization syndrome.
abstract: Complications after endometrial ablation are uncommon, and published series show that the majority of women who are treated by this technique remain symptom free in the postoperative period. A 39-year-old woman with previous tubal ligation underwent laparoscopic-assisted vaginal hysterectomy for debilitating pelvic pain 1 year after endometrial ablation. Pathologic assessment of the surgical specimen showed bilateral hematosalpinges from continued cyclic occult bleeding. The symptoms and findings in this case confirm the postablation-tubal sterilization syndrome.
authors.affiliation: William Beaumont Army Medical Center, Department of Obstetrics and Gynecology, El Paso, Texas, USA.
authors.forename: J C
authors.initials: JC
authors.lastname: Webb
authors.forename: M R
authors.initials: MR
authors.lastname: Bush
authors.forename: M D
authors.initials: MD
authors.lastname: Wood
authors.forename: G S
authors.initials: GS
authors.lastname: Park
mesh_terms: D000328:Adult; D017115:Catheter Ablation / Q000009:adverse effects*; D004564:Electrocoagulation / Q000009:adverse effects*; D004717:Endometrium / Q000601:surgery*; D005184:Fallopian Tube Diseases / Q000209:etiology*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology*; D013246:Sterilization, Tubal / Q000009:adverse effects* / Q000379:methods; D013577:Syndrome