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Case Report
Chronic pelvic pain due to post-ablation tubal sterilization syndrome: A case report
1 Department of Obstetrics and Gynaecology, North Devon District Hospital, Barnstaple, Devon EX31 4JB, UK
2 Department of Histopathology, North Devon District Hospital, Barnstaple, Devon EX31 4JB, UK
Address correspondence to:
Osama Eskandar
Department of Obstetrics and Gynaecology, North Devon District Hospital, Barnstaple, Devon EX31 4JB,
UK
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Article ID: 100093Z08NS2021
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Shatry N, Alexander M, Eskandar O. Chronic pelvic pain due to post-ablation tubal sterilization syndrome: A case report. J Case Rep Images Obstet Gynecol 2021;7:100093Z08NS2021.ABSTRACT
Heavy menstrual bleeding is a common disorder with an estimated 1 in 20 women in the UK aged 30–49 years consulting their General Practitioner (GP) each year. One of the management options for heavy menstrual bleeding is ablation. This procedure aims to reduce heavy menstrual bleeding by thermally ablating the endometrial lining. In women who have had sterilization, this may result in pelvic pain as a result of tubal distension from occult bleeding into the obstructed tubes. This is a case of a 45-year-old female with history of sterilization by Filshie clips and endometrial ablation, who presented with chronic pelvic pain. This case report highlights the importance of discussing the potential long-term complication of post-ablation tubal sterilization syndrome with the patient. The clinician should have a high index of suspicion to prompt early gynecological referral.
Keywords: Ablation, Pelvic pain, Tubal sterilization
SUPPORTING INFORMATION
Author Contributions
Naima Shatry - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Mary Alexander - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Osama Eskandar - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Naima Shatry et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
