Uterine Perforation with Intra-AbdominalClostridium perfringensGas Gangrene: A Rare and Fatal Infection.
Background:Clostridium perfringensgas gangrene is an extremely rare and fatal infection. Necrosis of the myometrium is rarely seen and has only been recorded in 18 cases to date. Of these 18 reported cases, only 5 have occurred in nonpregnant women. This article presents the 6th case of myometrium necrosis fromC. perfringens.Case:A 72-year-old woman, gravida 2, para 2, presented with abdominal pain and vaginal bleeding. After examinations, laboratory testing, and several surgical interventions, she was found to have C. perfringens infection and advanced high-grade serous adenocarcinoma of the endometrium with >50% invasion into the myometrium.Results:Despite the surgical interventions and use of several antibiotics, this patient did not improve. She was weaned from treatment per her advance directive and died after weaning.Conclusions:Awareness of the many etiologies for peritonitis is of great importance when a fatal infection may be the cause of the condition. Correct diagnosis and proper treatment is essential for the survival of patients infected withC. perfringens. (J GYNECOL SURG 32:182).
State University of New York Downstate Medical Center , Staten Island, NY.
David
D
Kashan
State University of New York Downstate Medical Center , Staten Island, NY.
Nagarajan
N
Muthu
St. George's University , St. George's, Grenada , West Indies.
Benjamin
B
Chaucer
Richmond University Medical Center , Staten Island, NY.
Fidencio
F
Davalos
Richmond University Medical Center , Staten Island, NY.
Michael
M
Bernstein
Richmond University Medical Center , Staten Island, NY.
Akella
A
Chendrasekhar