A Case of Uterine Perforation Complicated by Septic Shock Caused by Streptococcus agalactiae Infection

doi:10.12280/gjfckx.20241180

Abstract

Abstract:

Streptococcus agalactiae is a conditional pathogen, the infection rate is higher in pregnant women and newborns, less in non-pregnant adults, resulting in septic shock is more rare. A case of uterine perforation caused by Streptococcus agalactiae infection and subsequent septic shock was reported. The patient was admitted to hospital for more than 10 hours due to sudden middle and upper abdominal pain, and was in shock immediately after admission. Free gas was found in abdominal cavity by CT examination. The volume of uterine cavity increased significantly, gas accumulation, fluid accumulation in abdominal cavity and pelvic cavity. Emergency laparoscopic exploration showed a huge perforation of the uterus, with a large amount of pus and pus outflow. The patient was discharged from hospital due to positive treatment and good prognosis.

Key words: Streptococcus agalactiae, Shock, Uterine perforation, Pyometra, Case reports

FENG Ling, LI Jin-lin. A Case of Uterine Perforation Complicated by Septic Shock Caused by Streptococcus agalactiae Infection[J]. Journal of International Obstetrics and Gynecology, 2025, 52(2): 234-236.

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