Abstract

PIP: A case history of a 23-year old woman with criminal abortion complicated by septic shock and acute kidney insufficiency is reported. 2 days after abortion, the patient developed high fever, chills, uterine hemorrhage, abdominal and muscle pain, jaundice, and hepatomegaly. Gynecological examination showed hypertrophy of the cervix uteri, enlargement of the uterus, and the presence of bloody secretion. Urine culture indicated the presence of Pseudomonas aeruginosa sensitive to amikain. Clinical diagnosis was of septic shock and acute kidney insufficiency, and the patient underwent laparotomy followed by total extirpation of the uterus with adnexa. Histological examination of the uterus indicated suppurative-necrotic endometritis without signs of pregnancy. Postoperatively, the patient received hemodialysis in combination with antibiotics, corticosteroids, blood transfusions, and vitamins. She was discharged on day 53 after the onset of disease. It was concluded that criminal abortion can lead to severe septic shock and acute kidney insufficiency requiring intensive conservative therapy.