Sepsis after Bartholin's duct abscess marsupialization in a gravida

N. R. Miller, D. J. Garry, A. S. Klapper, D. Maulik

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: Little information exists regarding sepsis following marsupialization of a Bartholin's duct abscess. We report a gravida who became septic after marsupialization. CASE: A 30-year-old primigravida at 32 weeks' gestation underwent marsupialization of a Bartholin's gland abscess. Postoperatively, she developed fever with maternal and fetal tachycardia. She was admitted to the hospital and started on broadspectrum antibiotics. Her temperature increased to 39°C, and she became hypotensive. Blood work demonstrated evidence of disseminated intravascular coagulopathy. The patient was stabilized with aggressive fluid resuscitation, antibiotics, transfusion of blood products and oxygen therapy. Within 24 hours, the fever and coagulopathy resolved. She was discharged on postoperative day 5 and gave birth without complications at 38 weeks' gestation. CONCLUSION: Pregnant women undergoing marsupialization of a Bartholin's gland abscess should be considered at high risk and managed accordingly.

Original languageEnglish (US)
Pages (from-to)913-915
Number of pages3
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume46
Issue number10
StatePublished - 2001
Externally publishedYes

Fingerprint

Bartholin's Glands
Abscess
Sepsis
Fever
Anti-Bacterial Agents
Pregnancy
Tachycardia
Resuscitation
Blood Transfusion
Pregnant Women
Mothers
Parturition
Oxygen
Temperature
Therapeutics

Keywords

  • Bartholin's glands
  • Infectious
  • Pregnancy complications
  • Sepsis

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Sepsis after Bartholin's duct abscess marsupialization in a gravida. / Miller, N. R.; Garry, D. J.; Klapper, A. S.; Maulik, D.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 46, No. 10, 2001, p. 913-915.

Research output: Contribution to journalArticle

Miller, N. R. ; Garry, D. J. ; Klapper, A. S. ; Maulik, D. / Sepsis after Bartholin's duct abscess marsupialization in a gravida. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 2001 ; Vol. 46, No. 10. pp. 913-915.
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