The New Indian Journal of OBGYN 4(2):165-167

A rare case of uterine perforation due to gas gangrene of uterus caused by Clostridium Perfringens

Poonam Kashyap, Sudha Prasad, C B Singh

ABSTRACT

Clostridium Perfringens infection is an extremely fatal condition which is difficult to diagnose in first instance. A 65 year old lady para 3, presented with acute abdominal pain and vomiting to the surgical emergency. She was admitted,investigated and kept on conservative management. Her blood investigations, CT scan findings suggested bowel perforation. On laparotomy, acute gas gangrene infection of uterus was found leading to myometrial necrosis and perforation. Hysterectomy was performed and patient started on antibiotics but patient did not improve in postoperative period and expired. On histopathology, sepsis with gas gangrene was confirmed. Clostridium Perfringens infection affecting primarily uterus is a very rare so there is need to spread the awareness of this infection to prevent mortalities because of this infection.