Endometrial ablation: normal appearance and complications

  • Monica R. Drylewicz
  • Kathryn Robinson
  • Cary Lynn Siegel
Pictorial essay


Global endometrial ablation is a commonly performed, minimally invasive technique aimed at improving/resolving abnormal uterine bleeding and menorrhagia in women. As non-resectoscopic techniques have come into existence, endometrial ablation performance continues to increase due to accessibility and decreased requirements for operating room time and advanced technical training. The increased utilization of this method translates into increased imaging of patients who have undergone the procedure. An understanding of the expected imaging appearances of endometrial ablation using different modalities is important for the abdominal radiologist. In addition, the frequent usage of the technique naturally comes with complications requiring appropriate imaging work-up. We review the expected appearance of the post-endometrial ablated uterus on multiple imaging modalities and demonstrate the more common and rare complications seen in the immediate post-procedural time period and remotely.


Endometrial ablation Endometrium Uterus CT MRI 


Compliance with ethical standards


This study received no funding.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was waived for this study by the Institutional Review Board. This study was covered by Washington University in St Louis IRB Number 201601119.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Monica R. Drylewicz
    • 1
  • Kathryn Robinson
    • 1
  • Cary Lynn Siegel
    • 1
  1. 1.Washington University in St LouisSt. LouisUSA

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