Cervical conization complicated by sepsis with lung and liver abscesses

Area of Science:

• Gynecology
• Infectious Diseases
• Surgical Complications

Background:

• Extrapelvic infections are infrequent complications associated with cervical conization procedures.
• Cervical conization is a common gynecological procedure for managing cervical abnormalities.

Observation:

• A 44-year-old patient developed fever and right upper quadrant pain seven days post-conization.
• Imaging revealed pleural effusion and hepatic and pulmonary abscesses.
• Microabscesses were identified in the conization pathology, and blood cultures isolated Fusobacterium necrophorum.

Findings:

• Fusobacterium necrophorum was identified as the causative pathogen in this rare extrapelvic abscess complication.
• Treatment involved intravenous antibiotics and pleural fluid drainage, with partial resolution of pulmonary findings.
• The patient was discharged in stable condition with oral antibiotics.

Implications:

• This case underscores the potential for serious extrapelvic infections post-conization.
• Early identification of F. necrophorum is crucial for effective management.
• Prompt diagnosis and treatment, including cultures, abscess drainage, and targeted antibiotics, are essential.