Septic abortion with placenta accreta in pregnancy after endometrial ablation.
BACKGROUND
Pregnancy after endometrial ablation is a rare event, occurring in approximately 0.7% of cases. When it occurs, serious complications may be anticipated for both mother and fetus, including abnormal placentation. Termination of pregnancy in these cases is a challenging issue, made more so by the lack of availability of these services.


METHODS
We report a case of pregnancy after endometrial ablation complicated by placenta accreta. Initiation of a second-trimester termination procedure with lethal fetal injection resulted in subsequent septic abortion necessitating abdominal hysterectomy.


CONCLUSIONS
Pregnancy after endometrial ablation is a rare and potentially morbid event. Patients should be counseled about the necessity of contraception at the time of endometrial ablation. Termination should be approached with caution and requires the availability of skilled providers.
Mayo Clinic School of Graduate Medical Education, and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Mayo Clinic School of Graduate Medical Education, Mayo Clinic, Rochester, Minnesota.
Lisa A
LA
Gill
Elizabeth
E
Baldwin
Collette
C
Lessard-Anderson
Wendy
W
White
D000031:Abortion, Septic / Q000209:etiology* / Q000601:surgery*; D000032:Abortion, Therapeutic / Q000009:adverse effects*; D000328:Adult; D017115:Catheter Ablation; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000175:diagnosis / Q000628:therapy*; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000601:surgery