Clostridial abdominal gas gangrene masquerading as a bowel perforation in an advanced-stage ovarian cancer patient
| Autor: | B. H. Goldstein, L. N. Abaid, Howard D. Epstein, R. H. Thomas |
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| Rok vydání: | 2013 |
| Předmět: |
Radiography
Abdominal Microbiology (medical) medicine.medical_specialty Abdominal pain Clostridium perfringens Nausea medicine.medical_treatment Gynecologic oncology Diagnosis Differential Fatal Outcome Postoperative Complications medicine Humans Laparoscopy Aged Ovarian Neoplasms Chemotherapy medicine.diagnostic_test business.industry General Medicine medicine.disease Surgery Infectious Diseases Intestinal Perforation Female medicine.symptom Differential diagnosis Tomography X-Ray Computed Ovarian cancer business Gas Gangrene Gas gangrene |
| Zdroj: | Infection. 41:885-888 |
| ISSN: | 1439-0973 0300-8126 |
| DOI: | 10.1007/s15010-013-0426-y |
| Popis: | The coexistence of clostridial gas gangrene and a gynecologic malignancy is extremely rare, with very few cases involving ovarian cancer. A patient originally presented to our gynecologic oncology service with stage IV ovarian cancer; she underwent a diagnostic laparoscopy and neoadjuvant chemotherapy. On postoperative day 6, the patient developed severe abdominal pain, nausea, and emesis, suggestive of a bowel perforation. Further evaluation confirmed that her symptoms were attributed to Clostridium perfringens-related gas gangrene. Despite immediate surgical intervention, the patient succumbed to her disease. Clostridial gas gangrene is associated with an extremely high mortality rate. Therefore, accurate detection and prompt management are indispensable to ensuring a favorable patient outcome. |
| Databáze: | OpenAIRE |
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