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Late anaphylactic shock after hysterosalpingography.
N W Schuitemaker1, F M Helmerhorst, R T Tjon A Tham
1Department of Obstetrics and Gynecology, Leiden University Medical Center, The Netherlands.
Fertility and Sterility
|September 1, 1990
Summary
A severe allergic reaction (anaphylaxis) occurred 1 hour after hysterosalpingography (HSG). Symptoms returned after treatment stopped, indicating a need for careful patient evaluation and extended observation post-procedure.
Area of Science:
- Radiology
- Allergy and Immunology
Background:
- Hysterosalpingography (HSG) is a common radiological procedure.
- Potential adverse reactions to HSG, including allergic responses, require careful consideration.
Observation:
- A patient experienced a severe anaphylactic reaction one hour post-HSG.
- Allergic symptoms reappeared several hours after the cessation of antiallergic therapy.
Findings:
- Initial symptoms of pain and vomiting post-HSG may indicate peritoneal irritation or an early anaphylactic reaction.
- Recurrence of allergic symptoms suggests a delayed or prolonged hypersensitivity response.
Implications:
- Patients with risk factors for allergic reactions require thorough pre-HSG evaluation.
- Extended observation (1-2 hours) is recommended for at-risk patients and those experiencing post-HSG complaints.