Severe clostridium infection following perforation of the uterus in a patient with an ectopic pregnancy.
Twenty-eight hours after CO2 insufflation and curettage in a 26 year old, haemolysis, jaundice and anuria developed. As an ectopic pregnancy was also suspected, a diagnostic laparoscopy was done and was followed by a hysterectomy and left salpingo-oophorectomy before Clostridium perfringens was grown on culture. The survival of the patient despite clostridial infection is probably due to immediate surgical treatment and intensive post-operative care.
D000328:Adult; D003015:Clostridium Infections / Q000209:etiology*; D003016:Clostridium perfringens; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications*; D014595:Uterine Perforation / Q000150:complications*; D014597:Uterine Rupture / Q000150:complications*