title: Postpartum paravaginal hematoma and lower-extremity infection.
abstract: We report a case of infection of the lower extremity after a normal vaginal delivery. The infection originated in an occult obturator internus muscle hematoma, and diagnosis was based on a clinical suspicion and characteristic findings on computerized tomography scan. These findings permitted prompt surgical drainage, debridement, and antibiotic therapy and resulted in a successful outcome.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, Philadelphia, PA 19140.
authors.forename: A
authors.initials: A
authors.lastname: Chatwani
authors.forename: T
authors.initials: T
authors.lastname: Shapiro
authors.forename: A
authors.initials: A
authors.lastname: Mitra
authors.forename: A
authors.initials: A
authors.lastname: LevToaff
authors.forename: E A
authors.initials: EA
authors.lastname: Reece
mesh_terms: D000328:Adult; D005208:Fasciitis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007866:Leg / Q000473:pathology; D009336:Necrosis; D011247:Pregnancy; D011644:Puerperal Disorders / Q000150:complications* / Q000000981:diagnostic imaging; D011645:Puerperal Infection / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014623:Vaginal Diseases / Q000150:complications* / Q000000981:diagnostic imaging