Balloon tamponade of hemorrhage after uterine curettage for gestational trophoblastic disease.
BACKGROUND
Uterine bleeding frequently complicates gestational trophoblastic disease, particularly after uterine evacuation. Hysterectomy and other procedures used to control this bleeding incur significant risk and can limit fertility.


METHODS
We present a case of massive hemorrhage complicating uterine curettage performed for metastatic gestational trophoblastic disease. The patient's bleeding was controlled successfully by intrauterine tamponade performed using a balloon catheter. After catheter removal, she achieved complete disease remission.


CONCLUSIONS
Intrauterine balloon catheterization appears to be a promising alternative to control uterine hemorrhage and preserve fertility for young women undergoing treatment for gestational trophoblastic disease. Its use may help avoid invasive interventions, such as hysterectomy and embolization, currently used to control hemorrhage after uterine evacuation.
Kolomeyevskaya
Nonna V
NV
From the Departments of Obstetrics and Gynecology and Pathology, Baylor College of Medicine, Houston, Texas.
Tanyi
Janos L
JL
Coleman
Neil M
NM
Beasley
Anitra D
AD
Miller
Harold J
HJ
Anderson
Matthew L
ML
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D021721:Balloon Occlusion; D002404:Catheterization; D003609:Dactinomycin / Q000008:administration & dosage; D004107:Dilatation and Curettage / Q000009:adverse effects*; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D031901:Gestational Trophoblastic Disease / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D002955:Leucovorin / Q000008:administration & dosage; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary*; D008727:Methotrexate / Q000008:administration & dosage; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000628:therapy*
D003609:Dactinomycin; D005047:Etoposide; D002955:Leucovorin; D008727:Methotrexate