Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention
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 f...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2011/364641 |
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| author | Daphna Stroumsa Eliel Ben-David Nurith Hiller Drorith Hochner-Celnikier |
| author_facet | Daphna Stroumsa Eliel Ben-David Nurith Hiller Drorith Hochner-Celnikier |
| author_sort | Daphna Stroumsa |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ca17f3954599439d9c4ac2219925e1c9 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-ca17f3954599439d9c4ac2219925e1c92025-02-03T06:07:09ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/364641364641Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical InterventionDaphna Stroumsa0Eliel Ben-David1Nurith Hiller2Drorith Hochner-Celnikier3Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem 91240, IsraelDepartment of Radiology, Hadassah-Hebrew University Medical Center, Jerusalem 91240, IsraelDepartment of Radiology, Hadassah-Hebrew University Medical Center, Jerusalem 91240, IsraelDepartment of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem 91240, IsraelBackground. 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.http://dx.doi.org/10.1155/2011/364641 |
| spellingShingle | Daphna Stroumsa Eliel Ben-David Nurith Hiller Drorith Hochner-Celnikier Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention Case Reports in Obstetrics and Gynecology |
| title | Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention |
| title_full | Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention |
| title_fullStr | Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention |
| title_full_unstemmed | Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention |
| title_short | Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention |
| title_sort | severe clostridial pyomyoma following an abortion does not always require surgical intervention |
| url | http://dx.doi.org/10.1155/2011/364641 |
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