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
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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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