Sepsis after uterine artery embolization-assisted termination of pregnancy with complete placenta previa: A case report

J Int Med Res. 2018 Jan;46(1):546-550. doi: 10.1177/0300060517723257. Epub 2017 Aug 31.

Abstract

Uterine artery embolization (UAE)-assisted induction of labor is an alternative method of managing pregnant women with complete placenta previa (CPP). Sepsis secondary to UAE, although rare, is a serious complication. We herein present a case of severe sepsis following UAE-assisted termination of a pregnancy at 27 gestational weeks in a woman with CPP. The woman developed a high-grade fever and elevated inflammatory indices following UAE. She did not recover until the infected tissue was removed by emergency cesarean section. This case suggests that the increasing use of UAE for termination of pregnancy in women with CPP requires awareness regarding the possibility of serious sepsis associated with this procedure.

Keywords: Uterine artery embolization; cesarean section; complete placenta previa; obstetric hemorrhage; sepsis; termination of pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Therapeutic / adverse effects*
  • Abortion, Therapeutic / methods
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Cesarean Section
  • Female
  • Fluoroquinolones / therapeutic use
  • Humans
  • Moxifloxacin
  • Placenta Previa / pathology
  • Placenta Previa / surgery*
  • Placenta Previa / therapy
  • Pregnancy
  • Sepsis / etiology
  • Sepsis / microbiology
  • Sepsis / pathology
  • Sepsis / surgery*
  • Serratia Infections / etiology
  • Serratia Infections / microbiology
  • Serratia Infections / pathology
  • Serratia Infections / surgery*
  • Serratia marcescens / drug effects
  • Serratia marcescens / growth & development
  • Serratia marcescens / pathogenicity
  • Uterine Artery Embolization / adverse effects*
  • Uterine Hemorrhage / physiopathology
  • Uterine Hemorrhage / surgery
  • Uterine Hemorrhage / therapy

Substances

  • Anti-Bacterial Agents
  • Fluoroquinolones
  • Moxifloxacin