Case report: septic shock after endometrial polypectomy with tissue removal system

Area of Science:

• Gynecology
• Surgical Technology
• Infectious Disease

Background:

• Hysteroscopic endometrial polypectomy using tissue removal systems is a common procedure for treating endometrial polyps.
• These systems offer benefits like reduced endometrial damage and improved surgical vision.
• Serious complications are rarely reported with these devices.

Observation:

• A 23-year-old woman with a history of recurrent vaginitis developed septic shock three hours after hysteroscopic endometrial polypectomy.
• The procedure utilized a mechanical hysteroscopic tissue removal system.
• Symptoms included fever, hypotension, and tachycardia.

Findings:

• The patient successfully recovered after prompt anti-infection and anti-shock treatment.
• This case highlights a rare but severe complication associated with hysteroscopic tissue removal systems.
• Recurrent vaginitis may be a risk factor for developing serious infections post-procedure.

Implications:

• Clinicians must consider the risk of severe infection when selecting hysteroscopic devices for endometrial polyps.
• Mechanical hysteroscopic tissue removal systems require cautious use in patients with a history of recurrent vaginitis.
• Comprehensive pre-operative infection risk assessment is crucial for patient safety.