title: Clostridial myonecrosis of the postpartum uterus with radiologic diagnosis.
abstract: A case of clostridial uterine infection following prolonged labor and vaginal delivery is presented. Uterine myonecrosis with gas formation was diagnosed by radiologic studies. Antimicrobial therapy with megadosage penicillin was initiated and total abdominal hysterectomy performed. Three episodes of cardiac arrest occurred during surgery. Resuscitation was carried out with recovery.
mesh_terms: D000328:Adult; D003015:Clostridium Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D003016:Clostridium perfringens; D005260:Female; D005738:Gas Gangrene / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D009336:Necrosis; D007744:Obstetric Labor Complications; D010406:Penicillins / Q000627:therapeutic use; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D014591:Uterine Diseases / Q000000981:diagnostic imaging* / Q000601:surgery
chemical_list: D010406:Penicillins