Postpartum paravaginal hematoma and lower-extremity infection.
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.
Chatwani
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Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, Philadelphia, PA 19140.
Shapiro
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Mitra
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LevToaff
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Reece
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EA
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