A case of successful management of maternal septic shock with multiple organ failure following amniocentesis at midgestation

Hamanishi, Junzo; Itoh, Hiroaki; Sagawa, Norimasa; Nakayama, Takahiro; Yamada, Shigetoshi; Nakamura, Kaoru; Saito, Ayaka; Kumakura, Erika; Yura, Shigeo; Fujii, Shingo

doi:10.1046/j.1341-8076.2002.00051.x

Cited by 16 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most cases, inadvertent bowel puncture was postulated in the discussion as a possible mechanism. A pin-hole in the sigmoid colon was actually demonstrated at laparotomy in one patient who had adhesions of bowel to the uterus [5] . Other etiologies, such as skin contamination, pre-existing subclinical chorioamnionitis, or ascending infection from the vagina have also been postulated, but never proven.…”

Section: Discussionmentioning

confidence: 99%

Chorioamnionitis and Intrauterine Fetal Death after Second-Trimester Amniocentesis

Vigliani

2009

Fetal Diagn Ther

View full text Add to dashboard Cite

We report an intrauterine fetal death that occurred less than 24 h after transabdominal amniocentesis. Chorioamnionitis was confirmed by amniotic fluid culture which showed multiple enteric organisms and postmortem examination of the fetus that showed Clostridium perfringens. The patient was treated with intravenous broad-spectrum antibiotics and uterine evacuation and her condition rapidly improved. Intra-amniotic infection after amniocentesis requires a high index of suspicion and prompt aggressive treatment with broad spectrum antibiotics and uterine evacuation to prevent maternal sepsis-related morbidity and mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

Chorioamnionitis and Intrauterine Fetal Death after Second-Trimester Amniocentesis

Vigliani

2009

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…Inoculation of intestinal germs has been implicated in cases of sepsis after transabdominal procedures. In such cases, peritoneal signs are expected to predominate 69 . Incubation time is usually short, and the onset of symptoms is usually manifested within 24 hours after the procedure.…”

Section: Amniocentesis Chorionic Villous Sampling (Cvs): Routine Promentioning

confidence: 99%

Septic Shock in Obstetrics and Gynecology

Kaponis¹,

Filindris²,

Decavalas³

2012

Severe Sepsis and Septic Shock - Understanding a Serious Killer

View full text Add to dashboard Cite

“…8 A pinhole in the sigmoid colon was demonstrated at laparotomy in one patient who had adhesions of bowel to the uterus. 9 Other postulated mechanisms that have not been proven include skin contamination of the patient or provider, preexisting subclinical chorioamnionitis, and ascending vaginal infection.…”

Section: Case Reportmentioning

confidence: 99%

Clostridium perfringensSepsis and Fetal Demise after Genetic Amniocentesis

2011

View full text Add to dashboard Cite

Clostridium perfringens is a rare cause of intrauterine infection. There have been five case reports concerning infection associated with invasive procedures. We report a woman who underwent a genetic amniocentesis due to her history of chronic granulomatous disease. She presented to the hospital ∼38 hours after the amniocentesis complaining of fever and chills. Due to acute decompensation, she underwent an emergent dilatation and evacuation. During her stay, blood cultures came back positive for C. perfringens. Gradual improvement with intensive monitoring led to hospital discharge 4 days after the procedure. Uterine infection due to C. perfringens leading to maternal sepsis is associated with a high morbidity and mortality rate. Our patient was able to survive without a hysterectomy due to the rapid administration of antibiotics and surgical intervention while being evaluated.

show abstract

A case of successful management of maternal septic shock with multiple organ failure following amniocentesis at midgestation

Cited by 16 publications

References 6 publications

Chorioamnionitis and Intrauterine Fetal Death after Second-Trimester Amniocentesis

Chorioamnionitis and Intrauterine Fetal Death after Second-Trimester Amniocentesis

Septic Shock in Obstetrics and Gynecology

Clostridium perfringensSepsis and Fetal Demise after Genetic Amniocentesis

Contact Info

Product

Resources

About