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A thermal burn to a prolapsed uterus
A Sagi1, R Glesinger, L Rosenberg
1Department of Plastic and Reconstructive Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
Summary
This case report details a rare thermal burn to a prolapsed uterus in a severely burned patient. Unique management strategies are crucial to address uterine pathogens and prevent peritonitis in such critical burn injuries.
Area of Science:
- Medicine
- Surgery
- Burn Care
Background:
- Perineal burns are rare, often severe, and associated with high mortality.
- Thermal injury to a prolapsed uterus presents unique challenges beyond typical burn management.
Observation:
- A 72-year-old woman with a 70% total body surface area deep burn sustained a thermal injury to a prolapsed uterus.
- Uterine pathogens (e.g., Neisseria gonorrhoeae, Chlamydia trachomatis) differ from common skin pathogens.
- Uterine lymphatic drainage into the abdominal cavity increases peritonitis risk.
Findings:
- Treatment involved broad-spectrum intravenous antibiotics (cefoxitin, gentamicin, metronidazole) to cover both skin and uterine pathogens.
- Local treatment of the exposed uterus utilized Betadine instead of Flamazine.
- Despite interventions, the patient did not survive.
Implications:
- Management of uterine burns requires consideration of specific uterine pathogens and potential for widespread infection.
- Prophylactic antibiotics and targeted local treatment are essential for uterine burn cases.
- This case highlights the need for specialized protocols for rare, complex burn injuries involving internal organs.