eMedicine Specialties > Emergency Medicine > Obstetrics & Gynecology
Abortion, Septic: Differential Diagnoses & Workup
Updated: Dec 17, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Differential Diagnoses
| Appendicitis, Acute | Shock, Septic |
| Pelvic Inflammatory Disease | Urinary Tract Infection, Female |
| Pregnancy, Ectopic | Vaginitis |
| Pregnancy, Trauma | Vulvovaginitis |
| Pregnancy, Urinary Tract Infections |
Workup
Laboratory Studies
- Complete blood count
- Erythrocyte sedimentation rate
- Beta-human chorionic gonadotropin; quantitative levels may provide a basis for future comparison
- Electrolytes, glucose, BUN, and creatinine
- Blood type and screen
- Endocervical cultures (eg, aerobic, anaerobic, gonorrheal, chlamydial) and Gram stain
- Blood cultures
Imaging Studies
- Perform an ultrasound examination to identify retained products of conception in the uterus, adnexal masses, and free fluid in the cul-de-sac.
- Both supine and upright radiographs of the abdomen assist in detection of free air or foreign bodies. Perform an exploratory laparotomy if a large amount of free air under the diaphragm is accompanied by fever, chills, vaginal bleeding, and abdominal pain.
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Differential Diagnoses & Workup: Abortion, Septic |
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References
Cates W, Rochat RW, Grimes DA, Tyler CW Jr. Legalized abortion: effect on national trends of maternal and abortion-related mortality (1940 through 1976). Am J Obstet Gynecol. Sep 15 1978;132(2):211-4. [Medline].
Chatterjee C, Joardar GK, Mukherjee G, Chakraborty M. Septic abortions: a descriptive study in a teaching hospital at North Bengal, Darjeeling. Indian J Public Health. Jul-Sep 2007;51(3):193-4:[Medline].
CherpesTL, Kusne S, Hillier SL. Haemophilus influenzae septic abortion. Infec Dis Obstet Gynecol. 2002;10(3):161-4. [Medline].
Finkielman JD, De Feo FD, Heller PG, Afessa B. The clinical course of patients with septic abortion admitted to an intensive care unit. Intensive Care Med. Jun 2004;30(6):1097-102. [Medline].
Jewett JF. Septic induced abortion. N Engl J Med. Oct 4 1973;289(14):748-9. [Medline].
Kollef MH, Schuster DP. The acute respiratory distress syndrome. N Engl J Med. Jan 5 1995;332(1):27-37. [Medline].
Osazuwa H, Aziken M. Septic abortion: a review of social and demographic characteristics. Arch Gynecol Obstet. Feb 2007;275(2):117-9:[Medline].
Rana A, Pradhan N, Gurung G, Singh M. Induced septic abortion: a major factor in maternal mortality and morbidity. J Obstet Gynaecol Res. Feb 2004;30(1):3-8. [Medline].
Rochelson B, Scher L, Warshawsky R, Simon D. Use of a temporary vena cava filter in a woman with septic abortion and inferior vena cava thrombosis. A case report. J Reprod Med. Jul 2003;48(7):557-9. [Medline].
Scott JR. Early pregnancy loss (septic abortion). In: Danforth's Obstetric and Gynecology. Lippincott-Raven Publishers; 1994:179.
Soper DE. Abortion and clostridial toxic shock syndrome. Obstet Gynecol. Nov 2007;110(5):970-1:[Medline].
Stevenson MM, Radcliffe KW. Preventing pelvic infection after abortion. Int J STD AIDS. Sep-Oct 1995;6(5):305-12. [Medline].
Stubblefield PG, Grimes DA. Septic abortion. N Engl J Med. Aug 4 1994;331(5):310-4. [Medline].
Further Reading
Keywords
septic abortion, miscarriage, spontaneous abortion, therapeutic abortion, artificial abortion, pelvic infection, pelvic inflammatory disease, PID
Differential Diagnoses & Workup: Abortion, Septic