Document Type
Article
Publication Date
9-20-2023
Publication Title
Cureus
Keywords
e. coli, obstetrics and gynecology, bacteremia, postoperative complications, hysteroscopy, reproductive tract infections, pelvic infections
ISSN
2168-8184
Volume
15
Issue/No.
9
First Page
e45618
Abstract
Hysteroscopies are commonly performed in the diagnosis and treatment of patients with abnormal uterine bleeding. Current research suggests a low rate of all types of complications following hysteroscopies. The rate of infectious complications has been reported as exceptionally low. We present a case of tubo-ovarian abscess with Escherichia coli bacteremia and eventual abscess rupture in a 51-year-old gravida 3, para 2012 (G3P2) woman who underwent a hysteroscopy with concurrent polypectomy. The patient had no risk factors that have historically been attributed to the development of post-hysteroscopy infection, such as a history of pelvic inflammatory disease or endometriosis. The patient also had no known intra-operational complications that might predispose her to infection. Further, the patient’s clinical presentation was significantly atypical. Despite having E. coli bacteremia on admission, severe abdominal pain, lack of an adequate response to several days of intravenous broad-spectrum antibiotics, and eventually evidence of abscess rupture, the patient never met clinical criteria for sepsis, including a lack of leukocytosis. This case demonstrates a rare presentation of a rare complication and emphasizes the necessity of clinical vigilance in diagnosing and promptly treating gynecological infectious complications.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
NSUWorks Citation
Linck, Jillian H.; Torres, Wanda I.; and Dayal, Shailja T., "Post-hysteroscopy Ruptured Tubo-Ovarian Abscess With Atypical Bacteremia: A Case Report" (2023). HPD Articles. 285.
https://nsuworks.nova.edu/hpd_facarticles/285
DOI
10.7759/cureus.45618
Copyright
© Copyright 2023 Linck et al.