FATAL PERINEAL CELLULITIS FROM AN EPISIOTOMY SITE

  • 1 January 1979
    • journal article
    • research article
    • Vol. 54  (3) , 292-298
Abstract
Perineal cellulitis originating from an episiotomy incision resulted in 20% of the maternal mortality in King County, Washington, USA, from 1969-1977. Necrotizing fasciitis was present in 2 of the cases, and clostridial myonecrosis was present in 1. These fatalities occurred because the practitioners were not aware that necrotizing fasciitis can occur in the fatty superficial fascia of the perineum and that resection of the necrotic tissue is necessary for successful therapy.

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