Septic Shock Following Operative Hysteroscopy in a Menopausal Woman

Moad Belouad, Abdelhamid Benlghazi, Lina Belkouchi, Yassine Bouhtouri, Saad Benali, Jaouad Kouach
Gynecology and minimally invasive therapy · 2022 · vol. 12(1) , pp. 55–57 · doi:10.4103/gmit.gmit_33_22 · PMID:37025447 · PMC10071870 · W4312782497
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Abstract

Minimally invasive gynecologic surgery such as hysteroscopy has a low risk of complications. Infections, however, are more common in the presence of risk factors such as smoking, history of pelvic inflammatory disease, and endometriosis. We report the case of a patient who underwent operative hysteroscopy without immediate complications and was admitted 2 days later to the emergency department in a severe state of septic shock. With multiple organ failures requiring admission to an intensive care unit, the patient died despite extensive antibiotic therapy and vasoactive drugs. Ascending infection can be a potentially fatal complication of hysteroscopy, even in the absence of known risk factors.

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endometriosis

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