A fatal outcome following uterine perforation and pelvic abscess after hysterosalpingography: A case report
DOI:
https://doi.org/10.59692/jogeca.v37i3.419Keywords:
hysterosalpingography, uterine perforation, pelvic abscess, infertility, Acinetobacter baumannii, postoperative complications, mediaAbstract
Background: Hysterosalpingography (HSG) is a widely used diagnostic tool in infertility evaluation. Although generally safe, it carries a rare risk of severe complications, including infections.
Case presentation: A 43-year-old gravida 1 para 1, with secondary infertility for 15 years, presented with generalized body malaise, dyspnea, easy fatiguability, progressive abdominal pain, and noticeable abdominal swelling. The patient developed a pelvic abscess secondary to uterine perforation, two weeks after HSG. Despite antibiotic therapy and surgical drainage, her condition progressively deteriorated, culminating in septicemia and death.
Conclusion: Although rare, severe complications of HSG, such as uterine perforation and pelvic abscess, can be fatal. Early recognition and multidisciplinary management are essential to improve outcomes.
Keywords: Acinetobacter baumannii, media, hysterosalpingography, infertility, pelvic abscess, postoperative complications
References
Simpson WL Jr, Beitia LG, Mester J. Hysterosalpingography: a reemerging study. Radiographics. 2006;26(2):419-431. doi:10.1148/rg.262055109
Chalazonitis A, Tzovara I, Laspas F, Porfyridis P, Ptohis N, Tsimitselis G. Hysterosalpingography: technique and applications. Curr Probl Diagn Radiol. 2009;38(5):199-205. doi:10.1067/j.cpradiol.2008.02.003
Aydeniz B, Gruber IV, Schauf B, Kurek R, Meyer A, Wallwiener D. A multicenter survey of complications associated with 21,676 operative hysteroscopies. Eur J Obstet Gynecol Reprod Biol. 2002;104(2):160-164. doi:10.1016/s0301-2115(02)00106-9
Uzun O, Findik S, Danaci M, Katar D, Erkan L. Pulmonary and cerebral oil embolism after hysterosalpingography with oil soluble contrast medium. Respirology. 2004;9(1):134-136. doi:10.1111/j.1440-1843.2003.00524.x
Stumpf PG, March CM. Febrile morbidity following hysterosalpingography: identification of risk factors and recommendations for prophylaxis. Fertil Steril. 1980;33(5):487-492. doi:10.1016/s0015-0282(16)44712-6
Nielsen PH. Injuries caused by hysterosalpingography. Acta Obstetricia et Gynecologica Scandinavica. 1946 Jan 1;26(4):565-97
Rodgers R, Ludlow J, Gee A, Ramsay P, Benness C. Clinical case presentation: life threatening Group A sepsis secondary to HyCoSy. Australas J Ultrasound Med. 2014;17(3):131-133. doi:10.1002/j.2205-0140.2014.tb00029.x
Measday B. An analysis of the complications of hysterosalpingography. BJOG: An International Journal of Obstetrics & Gynaecology. 1960 Aug;67(4):663-7
MARSHAK RH, POOLE CS, GOLDBERGER MA. Hysterography and hysterosalpingography; an analysis of 2,500 cases with special emphasis on technique and safety of the procedure. Surg Gynecol Obstet. 1950;91(2):182-192
Thadepalli H, Gorbach SL, Keith L. Anaerobic infections of the female genital tract: bacteriologic and therapeutic aspects. Am J Obstet Gynecol. 1973;117(8):1034-1040. doi:10.1016/0002-9378(73)90750-3
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Copyright (c) 2025 Dr. Esther Nyambura, khushboo Sonigra, Dr. Oscar Mwangi, Dr. Evyonne Mutabari, Dr. Kireki Omanwa
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