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Septic shock with renal failure after chorionic villus sampling.

A I Barela, G E Kleinman, I M Golditch

    American Journal of Obstetrics and Gynecology
    |May 1, 1986
    PubMed
    Summary

    Severe complications, including septic shock and renal failure, occurred after chorionic villus sampling. Hysterectomy was required to treat the patient, highlighting the need to assess the incidence of such serious events.

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    Area of Science:

    • Reproductive Medicine
    • Critical Care Medicine
    • Nephrology

    Background:

    • Chorionic villus sampling (CVS) is a common first-trimester prenatal diagnostic procedure.
    • While generally safe, rare but serious complications can arise.
    • Understanding potential adverse events is crucial for patient counseling and risk assessment.

    Observation:

    • A case of septic shock and acute renal failure following chorionic villus sampling is reported.
    • The patient presented with hypotension, coagulopathy, and anuria.
    • Standard treatments including uterine evacuation, antibiotics, and vasopressors were ineffective.

    Findings:

    • Exploratory laparotomy was performed due to the patient's deteriorating condition.
    • The patient's condition improved only after a hysterectomy (removal of the uterus, ovaries, and fallopian tubes).

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  • This case underscores a rare but life-threatening complication of CVS.

    • Implications:

    • The incidence of severe complications like septic shock and renal failure post-CVS needs further investigation.
    • This case highlights the importance of prompt surgical intervention in refractory cases.
    • Enhanced vigilance and diagnostic protocols may be necessary for high-risk pregnancies undergoing CVS.