Postpartum Necrotizing Myositis With Endometrial Prolapse.

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases

Background:

• Postpartum necrotizing myositis is a rare complication following interventions for postpartum hemorrhage.
• Uterine ischemia from procedures like embolization or suturing can lead to myometrial necrosis and systemic infection.

Observation:

• A 35-year-old patient developed persistent fever and vaginal discharge post-surgery for refractory postpartum hemorrhage.
• Clinical examination revealed a vaginal prolapse with purulent discharge; MRI confirmed a uterine basal abscess and necrotizing myositis.

Findings:

• Emergency laparoscopic supracervical hysterectomy was performed, with pathology confirming postpartum necrotizing myositis.
• The patient required readmission for pelvic abscess treatment post-discharge.

Implications:

• Postpartum necrotizing myositis requires consideration in patients with fever, pain, and discharge after childbirth.
• Targeted antibiotic therapy based on culture and sensitivity testing is essential for effective management.