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. 1969 Oct 2;281(14):747-53.
doi: 10.1056/NEJM196910022811401.

Management of septic chemical abortion with renal failure. Report of five consecutive cases with five survivors

R H Bartlett, C Yahia

Management of septic chemical abortion with renal failure. Report of five consecutive cases with five survivors

R H Bartlett et al. N Engl J Med. .

Abstract

PIP: The woman with complications of chemical abortion (often induced by soap or Lysol solution) is a prototype of the critically ill surgical patient. Usual mortality where hysterectomy is delayed or not done is 60%. 5 such patients, all with sepsis and uterine necrosis were treated by hysterectomy. All had renal failure, 4 required dialysis; 1 underwent diuresis after injection of ethacrynic acid. Major complications, in addition to renal failure, were pulmonary. 2 patients who had prophylactic vena-cava clips and ligation of ovarian veins escaped pulmonary complications. All patients survived without physiologic disturbances.

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