Necrotizing Uterine Infection After Dilation and Evacuation: A Case Report.
Kayla S Menendez1, Lauren Thaxton1, Leilah Zahedi-Spung2
1Obstetrics and Gynecology, University of Colorado Anschutz, Aurora, USA.
Cureus
|June 19, 2026
Summary
Uterine necrosis is a rare complication of previable premature prelabor rupture of membranes (PPROM) and sepsis, especially in immunosuppressed patients. Prompt diagnosis and hysterectomy may be necessary for definitive treatment.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Critical Care Medicine
Background:
- Previable premature prelabor rupture of membranes (PPROM) can lead to uterine infections and sepsis.
- Uterine necrosis is a rare but severe complication of sepsis following PPROM.
- Immunosuppressed patients are at increased risk for severe complications.
Keywords:
dilation and evacuationhysterectomyimmunosuppressionmaternal sepsispreviable ppromseptic abortionuterine necrosis

