Belouad Moad, Benlghazi Abdelhamid, Belkouchi Lina, Bouhtouri Yassine, Benali Saad, Kouach Jaouad
Department of Gynecology and Obstetrics, Military Hospital of Instruction Mohamed V, Rabat, Morocco.
Department of Radiology, Military Hospital of Instruction Mohamed V, Rabat, Morocco.
Gynecol Minim Invasive Ther. 2022 Oct 7;12(1):55-57. doi: 10.4103/gmit.gmit_33_22. eCollection 2023 Jan-Mar.
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.
诸如宫腔镜检查等微创妇科手术并发症风险较低。然而，在存在吸烟、盆腔炎病史和子宫内膜异位症等风险因素的情况下，感染更为常见。我们报告一例患者，该患者接受了宫腔镜手术，术后无即刻并发症，但在两天后因严重感染性休克被送入急诊科。由于出现多器官功能衰竭，患者需要入住重症监护病房，尽管接受了广泛的抗生素治疗和血管活性药物治疗，仍不幸死亡。上行性感染可能是宫腔镜检查的一种潜在致命并发症，即使在没有已知风险因素的情况下也是如此。
