Life threatening fulminant peritonitis following spontaneous mid-trimester abortion

Bangal, Vidyadhar B; Gupta, Kanika; Denita, Fernandes; Singh, Pushpanjali; Gavhane, Satyajit P.; Akuskar, Roshni

doi:10.7439/ijbr.v5i9.733

Cited by 1 publication

(7 citation statements)

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“…But as the patient and referral paper said in our case evacuation and curettage was not done which could predispose her to spontaneous peritonitis. This was similar to a previous case report [2]. Usually, spontaneous peritonitis follows induced abortions or spontaneous abortions complicated by evacuation and curettage.…”

Section: Discussionsupporting

confidence: 91%

“…Rapidly, the serous fluid would convert to full blown intra-abdominal pus and the case would cost the patient's life. Similarly, other cases reported white purulent, fecal smelling watery pus, approximately 4 liters in quantity and small intestines were adherent to the posterior wall of the uterus [2]. This massive intra-abdominal pus collection following spontaneous abortion was not accompanied by uterine perforation, which the association did not explain.…”

Section: Discussionmentioning

confidence: 73%

“…[5] another study reported distension of abdomen, breathlessness and high grade fever following day of abortion. [2] this acute onset of spontaneous peritonitis would be fatal if urgent medical and surgical intervention was not done.…”

Section: Discussionmentioning

confidence: 99%

“…This case revealed severe peritonitis following spontaneous abortion. although extremely rare, spontaneous abortions can result into severe sepsis and endanger life of the pregnant woman [2]. A rare case of fatal disseminated tuberculosis peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation was also reported [5].…”

Section: Discussionmentioning

confidence: 99%

“…Clinical features of the condition include pyrexia, offensive or purulent vaginal discharge, and other evidence of pelvic infection [1]. Severe degree of sepsis following spontaneous abortion is rare [2]. Incomplete evacuation of uterus and trauma to the uterus are predisposing factors for post-abortal sepsis [3].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Fulminant Peritonitis Following Second Trimester Spontaneous Abortion; Case Report, 2023

Frezgi,

Tesfai,

Mohmed

et al. 2023

GJORM

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Background: Sepsis Following Abortion Is Usually a Feature of Induced Abortion, Especially When It Is Performed Under Unhygienic Conditions And By Untrained Person. Although Extremely Rare, Spontaneous Abortions Can Result Into Severe Sepsis And Endanger Life of the Pregnant Woman. Case Report: A 30 year old multiparous mother was admitted with history of spontaneous abortion at 18 weeks gestation at nearby hospital in teseney, eritrea on 21/03/2022. It was planned pregnancy that ended up in inevitable abortion which was attended by general practitioners and midwives in the hospital and discharged after 48 hours. A week later, on 28/03/2022, she was re-admitted again with a complaint of diffuse abdominal pain, distention and shortness of breath. Despite a week course of broad spectrum antibiotics in the hospital, abdomen was progressively distended, and she was referred to orotta national maternity referral hospital. explorative laparotomy was done and about three liters of serous fluid with foul smelling debris was evacuated from the abdomen. Extensive bowel adhesion was found and gentle adhesion lysis was done. parietal peritoneum was red to black in color and uterus and ovaries were found healthy. on postoperative third day, she developed pulmonary embolism and transferred to intensive care unit. after a month of medical and surgical management, she was discharged home with full improvement. Conclusion: The case is presented because of its rarity in regards to primary etiology and severity of sepsis. The onset was acute that may end in death if urgent interventions were not done. Clinicians should high index of suspicion for these rare associations in which the pathogenesis is not yet known.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 73%