Septic abortion represents the main causes of abortion-induced maternal death. Hysterectomy may represent a beneficial therapeutic solution for septic abortion, nevertheless with irreversible effects on a woman’s reproductive condition. The study analyzes the anatomopathological damage found in ninety-one patients hospitalized for septic abortion. The patients were admitted to the “Dr. D. Popescu” Clinical Hospital, Timisoara, between 1980–1989 and 1999–2008; hysterectomy was performed in all the cases to eliminate uterine sepsis responsible for the emerging complications.