Pregnancy following endometrial ablation resulting in subtotal hysterectomy under spinal anaesthesia A case report

A 44-year-old woman presented in her second pregnancy following a cavaterm balloon endometrial ablation three years earlier. Antenatal scans showed a fibroid measuring 11 × 7.5 × 8.2 cm in the lower segment. The placenta was fundal positioned and the baby’s growth was normal. At 32 weeks, a magnetic resonance imaging (MRI) scan excluded placenta percreta but was unable to exclude placenta accreta. At 37 weeks, she was in labour with a transverse presentation. The baby was born with good apgars and weighed 2970 g. The fibroid was removed. She recovered well and histology described a leiomyoma and myometrial hyperplasia. There was no evidence of placenta accreta.   Key words: Pregnancy, endometrial ablation, antenatal scans, fibroid.