Abstract

BACKGROUND
We present a case of a patient who had development of uterine clostridial myonecrosis after elective thermal balloon endometrial ablation in the absence of identifiable risk factors.
CASE
A 51-year-old woman underwent uneventful thermal balloon endometrial ablation for the treatment of menorrhagia. The next day, she presented with acute inflammatory syndrome, severe intravascular hemolysis, and acute kidney injury. The blood cultures and the high vaginal swab showed moderate growth of Clostridium species. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. Her postoperative course was uneventful, and renal function gradually recovered.
CONCLUSION
Clostridial myonecrosis after uncomplicated surgery, although rare, should be considered in the differential diagnosis of the acutely septic patient with massive hemolysis, regardless of the presence of patient's risk factors.

Links

Publisher Full Text

Authors

Kocarev M, Girn Z, Collyer TC, Swindells S

Institution

Harrogate and District NHS Foundation Trust, Harrogate, United Kingdom. mkocarev@yahoo.com

Source

Obstetrics and gynecology 120:2 Pt 2 2012 Aug pg 483-5

MeSH

Anti-Bacterial Agents
Clostridium Infections
Clostridium perfringens
Combined Modality Therapy
Endometrial Ablation Techniques
Female
Humans
Hysterectomy
Menorrhagia
Middle Aged
Muscular Diseases
Myometrium
Necrosis
Ovariectomy
Salpingectomy
Tomography, X-Ray Computed
Uterine Diseases

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22825273