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Sepsis following hysteroscopic myomectomy
Katherine J C Chua1, Bruce McLucas2
1Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, NJ, USA.
Hysteroscopic myomectomy after uterine artery embolization (UAE) for prolapsing fibroids can rarely lead to septicemia. Prompt diagnosis and treatment are crucial for patient recovery.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Interventional Radiology
Background:
- Hysteroscopy and hysteroscopic myomectomy are generally safe procedures with low complication rates.
- Uterine artery embolization (UAE) is a common treatment for uterine fibroids.
Purpose of the Study:
- To report two cases of septicemia following hysteroscopic myomectomy in patients who previously underwent UAE for prolapsing submucous fibroids.
- To alert clinicians to this rare but serious complication.
Main Methods:
- Case report of two patients who developed septicemia after hysteroscopic myomectomy post-UAE.
- Review of clinical presentation, treatment, and outcomes.
Main Results:
- Both patients experienced prolapsing submucous fibroids after UAE, leading to bacteremia.
- One patient recovered with antibiotics; the other required abdominal myomectomy and laparotomy for a necrotic fibroid.
Conclusions:
- Hysteroscopic myomectomy after UAE for prolapsing fibroids carries a rare risk of septicemia.
- Clinicians should be vigilant for this complication and manage it promptly.
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