title: Balloon tamponade of hemorrhage after uterine curettage for gestational trophoblastic disease.
abstract: 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.
authors.affiliation: From the Departments of Obstetrics and Gynecology and Pathology, Baylor College of Medicine, Houston, Texas.
authors.forename: Nonna V
authors.initials: NV
authors.lastname: Kolomeyevskaya
authors.forename: Janos L
authors.initials: JL
authors.lastname: Tanyi
authors.forename: Neil M
authors.initials: NM
authors.lastname: Coleman
authors.forename: Anitra D
authors.initials: AD
authors.lastname: Beasley
authors.forename: Harold J
authors.initials: HJ
authors.lastname: Miller
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Anderson
mesh_terms: 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*
chemical_list: D003609:Dactinomycin; D005047:Etoposide; D002955:Leucovorin; D008727:Methotrexate