Septic shock and multiple organ failure after office endometrial sampling

Ahmed Namazov, Joseph Mishal, Eyal E. Anteby, Ofer Gemer

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


BACKGROUND: Office endometrial biopsy with a Pipelle cannula is the main method for sampling the endometrial lining. The Pipelle biopsy is safe, efficient, and cost effective. This office endometrial sampling method is also an accurate and safe procedure for endometrial sampling of patients with endometrial carcinoma. It is associated with minimal pain and does not require anesthesia. CASE: Pipelle is the most common method used for sampling the endometrial lining. No data are available of infectious complications related to endometrial biopsy. The incidence is presumed to be negligible. We present an unusual case of a 52-year-old woman who experienced septic shock and multiple organ failure following Pipelle endometrial sampling. CONCLUSION: Lower abdominal pain is the cardinal presenting symptom in woman with pelvic infection. Our case emphasizes that an atypical symptom such as abdominal pain after endometrial biopsy could be a sign of infectious complications.

Original languageEnglish
Pages (from-to)72-74
Number of pages3
JournalThe Journal of reproductive medicine
Issue number1
StatePublished - 1 Feb 2017


  • Ascites
  • Biopsy
  • Gram-negative bacterial infections
  • Gram-negative cocci
  • Pelvic infection
  • Peritonitis
  • Septic shock

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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