Metastatic clostridial myonecrosis associated with intra-uterine clostridial infection: a report of three cases.
Three cases of metastatic Clostridial myonecrosis are reported, two following spontaneous and one following criminal abortion. This particular combination has not been reported before. The two survivors were managed by hysterectomy and disarticulation of the leg through the hip. The patient who died did so before surgery could be undertaken. The literature on gas gangrene infections of the uterus and metastatic Clostridial myonecrosis is reviewed and guidelines for management are discussed.
Oliver
M J
MJ
Dept of Surgery, Mpilo Central Hospital, Bulawayo, Zimbabwe.
D000024:Abortion, Illegal; D000022:Abortion, Spontaneous; D000328:Adult; D000671:Amputation, Surgical; D001132:Arm; D003015:Clostridium Infections / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005738:Gas Gangrene / Q000209:etiology*; D006801:Humans; D007044:Hysterectomy; D007866:Leg; D011247:Pregnancy; D014591:Uterine Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery