2014, Number 01
Postpartum vulvar necrotizing fasciitis
Tabares-Trujillo MK, Gorbea-Chávez V, Nava-Hernández A, Rodríguez-Colorado ES
Language: Spanish
References: 0
Page: 54-63
PDF size: 409.35 Kb.
ABSTRACT
Objective: To report the case of postpartum vulvar necrotizing fasciitis diagnosis and management.Case report: A 16 year old woman with a history of vaginal delivery with episiotomy uncomplicated puerperium who presents in vulvar necrotizing fasciitis rapid progression to septic shock with spread to pelvis and abdomen.
Results: A CT scan at the level reported amount of gas vaginal labia.
Conclusions: An early diagnosis, multidisciplinary treatment including extensive surgical management, appropriate antibiotic coverage and intensive care unit, are factors that improve the prognosis and reduce mortality.