Septic abortion in incomplete abortion case report and literature review

Abstract

In the last 10 to 15 years, nearly 12% of all pregnancies ended in abortion in the first trimester (12 weeks of gestation), and recent data show that 80% of first trimester abortions occur before 10 weeks of gestation. Septic abortion is the result of an unsafe abortion. According to the World Health Organization (WHO), septic abortion occurs due to the termination of an unwanted pregnancy by an unfit person or the handling of an abortion in an environment that does not meet medical standards, or both. We report the case of a 21-year-old woman with G3P2002 with septic abortion + observation of decreased consciousness + acute kidney injury + electrolyte imbalance + transaminitis. The patient was brought by her family to the emergency department of Wangaya Hospital Denpasar with the main complaint of decreased consciousness, fever and weakness. The patient was diagnosed with incomplete abortion at 6 weeks gestation by an obstetrician but the patient did not seek medical treatment to evacuate the remaining tissue. The patient was dilated and curetted with oxytocin protection and antibiotics meropenem and levofloxacin. Postoperatively the patient was admitted to the intensive care unit for general improvement and continued electrolyte correction. after 2 days of treatment the patient experienced a decline in condition and was later declared dead. Treatment of septic abortion begins with rapid and accurate recognition of infection of the placenta and remaining conceptions, genital and blood cultures, administration of fluids and antibiotics, and immediate evacuation of infected products of conception.