1.
J Pediatr Adolesc Gynecol
; 2024 Aug 13.
Artigo
em Inglês
| MEDLINE
| ID: mdl-39147122
RESUMO
Clostridium perfringens is responsible for 5% of septic abortions. Emergent hysterectomy is often required for patient survival. This can be devastating to patients desiring future fertility. We report a 15-year-old female patient at 17-week 6 day gestation with diagnosis of sepsis on admission. She was managed with broad spectrum antibiotics followed by immediate evacuation of the retained placenta. Blood and placental cultures confirmed Clostridial species. Successful conservative management allowed for a term pregnancy two years later resulting in a healthy newborn. Few reports describe effective conservative management resulting in uterine sparing and good subsequent pregnancy outcomes.