Late anaphylactic shock after hysterosalpingography.
We observed a patient who had a severe anaphylactic reaction 1 hour after HSG. Allergic symptoms recurred several hours after antiallergic therapy was stopped. The initial complaints of pain and vomiting could have been due to peritoneal irritation or alternatively to an early anaphylactic reaction. Patients who are at risk should be carefully evaluated before performing HSG. These patients and those with complaints after HSG should stay under observation for 1 or 2 hours after HSG.
Department of Obstetrics and Gynecology, Leiden University Medical Center, The Netherlands.
N W
NW
Schuitemaker
F M
FM
Helmerhorst
R T
RT
Tjon A Tham
J L
JL
van Saase
D000328:Adult; D000707:Anaphylaxis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D002974:Clemastine / Q000627:therapeutic use; D004342:Drug Hypersensitivity; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007047:Hysterosalpingography / Q000009:adverse effects* / Q000379:methods; D007455:Iodine / Q000009:adverse effects
D002974:Clemastine; D007455:Iodine; D006854:Hydrocortisone; D004837:Epinephrine