scholarly journals A rare case of gas under diaphragm due to spontaneous perforation of uterus due to gas gangrene of uterus with clostridium perfringens infection presenting as intestinal perforation

2019 ◽  
Vol 6 (8) ◽  
pp. 3009
Author(s):  
D. Navya Sesha Harika ◽  
T. Uma Maheswara Rao ◽  
P. Sireesha ◽  
D. Jithendra ◽  
Satya Sundeep Pandu
Keyword(s):  
Clostridium Perfringens ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Gas Gangrene ◽  
Uterine Perforation ◽  
Hollow Viscus ◽  
X Ray ◽  
Clostridial Infection ◽  
Retained Products ◽  
Hollow Viscus Perforation

Uterine perforation is an uncommon, perforation due to clostridium perfringens is very rare, but potentially serious complication of uterine gangrene is due to clostridial infection, uterine manipulation, evacuation of retained products, termination of pregnancy, during coil insertion and hysteroscopic procedures. We report a 60 year old female patient presented with abdominal pain, constipation and Fever with features of septic shock. X-ray showed free gas under both domes of diaphragm. CT showed gas under diaphragm and hollow viscus perforation. This report aims to alert surgeons to the possibility that perforation of uterus due to gangrene with clostridium perfringens infection also shows air under diaphragm apart from routine causes. Correct diagnosis and treatment is essential for the survival of the patients with gas under diaphragm due to gas gangrene of uterus. 

scholarly journals Duodenal Ulcer Perforation in Pediatric Population: A Rare Entity

Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 79-81
Author(s):  
Binod Kumar Rai ◽  
MD Shahid Alam ◽  
Chandrika Sah ◽  
Aditya Prakash Yadav
Keyword(s):  
Pediatric Population ◽  
Rare Condition ◽  
Duodenal Perforation ◽  
Hollow Viscus ◽  
X Ray ◽  
Ulcer Disease ◽  
Pediatric Age Group ◽  
Upper Abdominal ◽  
Duodenal Ulcer Perforation ◽  
Hollow Viscus Perforation

In pediatric age group peptic ulcer disease and duodenal perforation are usually rare condition. We report here a case of 3 years old girl who presented with upper abdominal pain, fever. On examination, she was febrile, tachycardia, with the feature of peritonitis. X-ray Abdomen reveled pneumoperitoneum. After resuscitation and investigating the child, a provisional diagnosis of peritonitis due to hollow viscus perforation was made. The child was planned for laparotomy. Intraoperative diagnosis of first portion of duodenum perforation was made and she underwent repair of perforation.

scholarly journals Uterine Perforation with Intra-Abdominal Clostridium perfringens Gas Gangrene: A Rare and Fatal Infection

2016 ◽  
Vol 32 (3) ◽  
pp. 182-184 ◽  
Author(s):  
David Kashan ◽  
Nagarajan Muthu ◽  
Benjamin Chaucer ◽  
Fidencio Davalos ◽  
Michael Bernstein ◽  
...  
Keyword(s):  
Clostridium Perfringens ◽  
Gas Gangrene ◽  
Uterine Perforation ◽  
Fatal Infection

scholarly journals Clostridium Perfringens Bacteremia with Acute Hemolytic Anemia in the Setting of Endometrial Malignancy

2019 ◽  
Vol 9 (1-2) ◽  
pp. 127-133
Author(s):  
Luke R. Cypher ◽  
Christopher Sullivan ◽  
Ryan Jones ◽  
Angelina Phillips
Keyword(s):  
Phospholipase C ◽  
Hemolytic Anemia ◽  
Clostridium Perfringens ◽  
Rare Case ◽  
Food Poisoning ◽  
Gas Gangrene ◽  
High Grade ◽  
Alpha Toxin ◽  
Intravascular Hemolysis ◽  
Poorly Differentiated

Acute intravascular hemolysis is a rare and often lethal complication of Clostridium perfringens septicemia.Clostridium perfringens is an anaerobic, gram-positive spore-forming rod which is commonly implicated in cases of food poisoning, gas gangrene, and severe hemolytic anemia in humans via the alpha-toxin (phospholipase C). We report an interesting and rare case of a 72-year-old woman who developed massive intravascular hemolysis secondary to C perfringens bacteremia in the setting of poorly differentiated high-grade endometrial malignancy.

scholarly journals Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases

2018 ◽  
Vol 21 (1) ◽  
pp. 37-38
Author(s):  
Pooja Paudyal ◽  
Josie Baral ◽  
Geeta Gurung ◽  
Ashma Rana ◽  
Suniti Rawal ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Acute Abdomen ◽  
Elderly Women ◽  
Histopathological Examination ◽  
Uterine Cavity ◽  
Uterine Perforation ◽  
Hollow Viscus ◽  
Chronic Endometritis ◽  
Purulent Fluid ◽  
Hollow Viscus Perforation

Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spontaneous perforated pyometra in postmenopausal elderly women aged 60 to 70 years who presented with acute abdomen, initially diagnosed as hollow viscus perforation, demonstrated of having significant uterine perforation at laparotomy for which hysterectomy with bilateral salpingo-oophorectomy were done. Histopathological examination revealed features of necrosis of stroma with chronic endometritis without any evidence of malignancy in all the three cases. Conclusion: Spontaneous perforated pyometra, a grave complication necessitating prompt intervention, should always be kept as a possibility in all cases of suspected pyoperitoneum and acute abdomen in elderly postmenopausal women.

Identification of Pulmonary Deposits from a Sandpaper Worker: A Study by Electron Microscopy and X-Ray Microanalysis

1982 ◽  
Vol 40 ◽  
pp. 52-53
Author(s):  
S. K. Peng ◽  
M.A. Egy ◽  
J. K. Singh ◽  
M.B. Bishop
Keyword(s):  
Electron Microscopy ◽  
Environmental Pollution ◽  
Rare Case ◽  
Interstitial Fibrosis ◽  
X Ray ◽  
Documented Case ◽  
Etiologic Agents ◽  
Pulmonary Interstitial Fibrosis ◽  
Gold Miners ◽  
Pulmonary Changes

Electron microscopy and energy dispersive x-ray microanalysis (EDXA) are found to be very useful tools for identification of etiologic agents in pneumoconiosis or interstitial pulmonary disorders. Pulmonary interstitial fibrosis and granulomatosis are frequently associated with occupational and environmental pollution. Numerous reports of pneumoconiosis in various occupations such as coal and gold miners are presented in the literature. However, there is no known documented case of pulmonary changes in workers in the sandpaper industry. This study reports a rare case of pulmonary granulomatosis containing deposits from abrasives of sandpaper diagnosed by using EDXA.

Clostridium perfringens intestinal gas gangrene in a preterm newborn

2008 ◽  
Vol 212 (S 1) ◽  
Author(s):  
CA Hanke ◽  
R Hentschel ◽  
R Berner ◽  
A Superti-Furga ◽  
KD Rückauer ◽  
...  
Keyword(s):  
Clostridium Perfringens ◽  
Gas Gangrene ◽  
Preterm Newborn ◽  
Intestinal Gas

A Rare Case of Tuberculous Prostatitis

2016 ◽  
Vol 1 (2) ◽  
pp. 33
Author(s):  
Nurul Yaqeen Mohd Esa ◽  
Mohammad Hanafiah ◽  
Marymol Koshy ◽  
Hilmi Abdullah ◽  
Ahmad Izuanuddin Ismail ◽  
...  
Keyword(s):  
Rare Case ◽  
Correct Diagnosis ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
Tuberculosis Infection ◽  
Advanced Age ◽  
Immunocompromised Patients ◽  
Prostatic Biopsy ◽  
High Clinical Suspicion

Tuberculous prostatitis is an uncommon form of tuberculosis infection. It is commonly seen in immunocompromised patients and in those of middle or advanced age. The diagnosis is often not straight forward due to the nature of its presentation. We report a case of tuberculous prostatitis in a young, healthy and immunocompetent patient, who initially presented with respiratory features, followed by episodes of seizures and testicular swelling. He was finally diagnosed with tuberculous prostatitis after prostatic biopsy. This case illustrates that in a high TB prevalence environment, when symptoms warrant, there should be a high clinical suspicion coupled with a thorough approach in order to arrive at a correct diagnosis of TB prostatitis.

scholarly journals Identification of residues critical for toxicity in Clostridium perfringens phospholipase C, the key toxin in gas gangrene

2000 ◽  
Vol 267 (16) ◽  
pp. 5191-5197 ◽  
Author(s):  
Alberto Alape-Girón ◽  
Marietta Flores-Díaz ◽  
Isabelle Guillouard ◽  
Claire E. Naylor ◽  
Richard W. Titball ◽  
...  
Keyword(s):  
Phospholipase C ◽  
Clostridium Perfringens ◽  
Gas Gangrene
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