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Case report: septic shock after endometrial polypectomy with tissue removal system

As an emerging surgical technology, tissue removal systems have been widely used in the treatment of endometrial polyps due to its characteristics of less endometrial damage, shorter learning curve and clearer vision of the operative field. There are few cases in the literature reporting serious com...

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Autores principales: Su, Danna, She, Jiajie, Xu, Yuting, Li, Ying, Guo, Yan, Yang, Yajie, Tan, Qiao, Wang, Liping, Diao, Ruiying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594765/
https://www.ncbi.nlm.nih.gov/pubmed/37872546
http://dx.doi.org/10.1186/s12905-023-02690-9
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author Su, Danna
She, Jiajie
Xu, Yuting
Li, Ying
Guo, Yan
Yang, Yajie
Tan, Qiao
Wang, Liping
Diao, Ruiying
author_facet Su, Danna
She, Jiajie
Xu, Yuting
Li, Ying
Guo, Yan
Yang, Yajie
Tan, Qiao
Wang, Liping
Diao, Ruiying
author_sort Su, Danna
collection PubMed
description As an emerging surgical technology, tissue removal systems have been widely used in the treatment of endometrial polyps due to its characteristics of less endometrial damage, shorter learning curve and clearer vision of the operative field. There are few cases in the literature reporting serious complications after endometrial polypectomy using tissue removal systems. As known, septic shock is a rare complication following hysteroscopic polypectomy. Now, we present the case of a 23-year-old woman who developed septic shock after polypectomy with tissue removal system. The patient had a history of recurrent vaginitis for more than half a year. Due to endometrial polyps, she was admitted to our hospital and scheduled to undergo hysteroscopic endometrial polypectomy. Three hours after the endometrial polypectomy using the tissue removal system, the patient had shock symptoms such as increased body temperature, decreased blood pressure and increased heart rate. Then, the patient was successfully treated and discharged after anti-infection and anti-shock treatments. The purpose of this case report is to remind clinicians to consider the possibility of serious infection and comprehensively evaluate the risk of infection before choosing hysteroscopic devices for endometrial polyps, especially for patients who choose the mechanical hysteroscopic tissue removal systems. Furthermore, the mechanical hysteroscopic tissue removal systems should be used with caution in patients with previous recurrent vaginitis.
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spelling pubmed-105947652023-10-25 Case report: septic shock after endometrial polypectomy with tissue removal system Su, Danna She, Jiajie Xu, Yuting Li, Ying Guo, Yan Yang, Yajie Tan, Qiao Wang, Liping Diao, Ruiying BMC Womens Health Case Report As an emerging surgical technology, tissue removal systems have been widely used in the treatment of endometrial polyps due to its characteristics of less endometrial damage, shorter learning curve and clearer vision of the operative field. There are few cases in the literature reporting serious complications after endometrial polypectomy using tissue removal systems. As known, septic shock is a rare complication following hysteroscopic polypectomy. Now, we present the case of a 23-year-old woman who developed septic shock after polypectomy with tissue removal system. The patient had a history of recurrent vaginitis for more than half a year. Due to endometrial polyps, she was admitted to our hospital and scheduled to undergo hysteroscopic endometrial polypectomy. Three hours after the endometrial polypectomy using the tissue removal system, the patient had shock symptoms such as increased body temperature, decreased blood pressure and increased heart rate. Then, the patient was successfully treated and discharged after anti-infection and anti-shock treatments. The purpose of this case report is to remind clinicians to consider the possibility of serious infection and comprehensively evaluate the risk of infection before choosing hysteroscopic devices for endometrial polyps, especially for patients who choose the mechanical hysteroscopic tissue removal systems. Furthermore, the mechanical hysteroscopic tissue removal systems should be used with caution in patients with previous recurrent vaginitis. BioMed Central 2023-10-23 /pmc/articles/PMC10594765/ /pubmed/37872546 http://dx.doi.org/10.1186/s12905-023-02690-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Su, Danna
She, Jiajie
Xu, Yuting
Li, Ying
Guo, Yan
Yang, Yajie
Tan, Qiao
Wang, Liping
Diao, Ruiying
Case report: septic shock after endometrial polypectomy with tissue removal system
title Case report: septic shock after endometrial polypectomy with tissue removal system
title_full Case report: septic shock after endometrial polypectomy with tissue removal system
title_fullStr Case report: septic shock after endometrial polypectomy with tissue removal system
title_full_unstemmed Case report: septic shock after endometrial polypectomy with tissue removal system
title_short Case report: septic shock after endometrial polypectomy with tissue removal system
title_sort case report: septic shock after endometrial polypectomy with tissue removal system
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594765/
https://www.ncbi.nlm.nih.gov/pubmed/37872546
http://dx.doi.org/10.1186/s12905-023-02690-9
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