Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention
Joint Authors
Hochner-Celnikier, Drorith
Hiller, Nurith
Stroumsa, Daphna
Ben-David, Eliel
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Clostridial infection following pregnancy may be fatal, and surgery is considered as the treatment of choice.
We suggest a conservative management in selected cases when preservation of fertility is of major importance.
Case.
A 41-year-old primigravida presented with abdominal pain and fever, one day following dilatation and curettage at 20 weeks of gestation.
Her abdomen was diffusely tender, with a uterus enlarged to 20 weeks' gestation.
Laboratory studies were consistent with sepsis and hemolysis.
CT demonstrated a gas-containing mass compressing the uterine cavity, and presence of air in pelvic veins.
Blood cultures were positive for Clostridium perfringens.
The patient was treated conservatively, with IV antibiotics and fluid resuscitation, and recovered.
Conclusion.
In selected cases of infected myoma complicated by clostridial sepsis, refraining from surgical intervention is a possible therapeutic approach.
American Psychological Association (APA)
Stroumsa, Daphna& Ben-David, Eliel& Hiller, Nurith& Hochner-Celnikier, Drorith. 2011. Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention. Case Reports in Obstetrics and Gynecology،Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-466166
Modern Language Association (MLA)
Stroumsa, Daphna…[et al.]. Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention. Case Reports in Obstetrics and Gynecology No. 2011 (2011), pp.1-3.
https://search.emarefa.net/detail/BIM-466166
American Medical Association (AMA)
Stroumsa, Daphna& Ben-David, Eliel& Hiller, Nurith& Hochner-Celnikier, Drorith. Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention. Case Reports in Obstetrics and Gynecology. 2011. Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-466166
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466166