Severe Clostridial Pyomyoma following an Abortion Does Not Always Require Surgical Intervention.

Case Reports in Obstetrics and Gynecology
Daphna StroumsaDrorith Hochner-Celnikier

Abstract

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.

References

Nov 1, 1986·Chest·G J Canny, H Levison
May 25, 2001·Southern Medical Journal·P R GentaL P Meireles
Jan 5, 2002·Obstetrical & Gynecological Survey·Thomas F Halpin, Jane A Molinari
Apr 27, 2002·Obstetrics and Gynecology·John P BarrettLori A Boardman
Oct 24, 2003·AJR. American Journal of Roentgenology·Musturay Karcaaltincaba, Gary S Sudakoff
Dec 2, 2005·The New England Journal of Medicine·Marc FischerSherif R Zaki

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Citations

Mar 13, 2014·Abdominal Imaging·Hiromi OnoYuichiro Hatano
Jan 25, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·M Magro, I Gafson
Apr 12, 2016·Case Reports in Obstetrics and Gynecology·Chika C ObeleHearns W Charles
Jun 9, 2016·International Journal of Surgery Case Reports·Anne PintonCherif Youssef Akladios
Jul 31, 2018·Case Reports in Obstetrics and Gynecology·S Read, J Mullins

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Methods Mentioned

BETA
hysterectomy

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