{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:13:02Z","timestamp":1779196382241,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Gynecologic Surgery"],"published-print":{"date-parts":[[2016,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">Clostridium perfringens<\/jats:italic>\n                    gas gangrene is an extremely rare and fatal infection. Necrosis of the myometrium is rarely seen and has only been recorded in 18 cases to date. Of these 18 reported cases, only 5 have occurred in nonpregnant women. This article presents the 6th case of myometrium necrosis from\n                    <jats:italic toggle=\"yes\">C. perfringens.<\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Case:<\/jats:italic>\n                    <\/jats:bold>\n                    A 72-year-old woman, gravida 2, para 2, presented with abdominal pain and vaginal bleeding. After examinations, laboratory testing, and several surgical interventions, she was found to have C. perfringens infection and advanced high-grade serous adenocarcinoma of the endometrium with &gt;50% invasion into the myometrium.\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    Despite the surgical interventions and use of several antibiotics, this patient did not improve. She was weaned from treatment per her advance directive and died after weaning.\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusions:<\/jats:italic>\n                    <\/jats:bold>\n                    Awareness of the many etiologies for peritonitis is of great importance when a fatal infection may be the cause of the condition. Correct diagnosis and proper treatment is essential for the survival of patients infected with\n                    <jats:italic toggle=\"yes\">C. perfringens<\/jats:italic>\n                    . (J GYNECOL SURG 32:182)\n                  <\/jats:p>","DOI":"10.1089\/gyn.2015.0115","type":"journal-article","created":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T15:55:28Z","timestamp":1447862128000},"page":"182-184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Uterine Perforation with Intra-Abdominal\n                    <i>Clostridium perfringens<\/i>\n                    Gas Gangrene: A Rare and Fatal Infection"],"prefix":"10.1177","volume":"32","author":[{"given":"David","family":"Kashan","sequence":"first","affiliation":[{"name":"State University of New York Downstate Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagarajan","family":"Muthu","sequence":"additional","affiliation":[{"name":"State University of New York Downstate Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Chaucer","sequence":"additional","affiliation":[{"name":"St. George's University","place":["Grenada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fidencio","family":"Davalos","sequence":"additional","affiliation":[{"name":"Richmond University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Richmond University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akella","family":"Chendrasekhar","sequence":"additional","affiliation":[{"name":"Richmond University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,11,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.77.166"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3181\/00379727-127-32783"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80023-6"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1746.1999.02034.x"},{"key":"e_1_3_3_6_2","first-page":"64","article-title":"Clostridium perfringens myometritis complicating cesarean section: Report of 2 cases","volume":"28","author":"Browne JT","year":"1966","unstructured":"Browne JT, , Van Derhor AH, , McConnell TS, , Wiggins JW. Clostridium perfringens myometritis complicating cesarean section: Report of 2 cases. Obstet Gynecol, 1966; 28:64.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1949.tb07096.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198502000-00041"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.42.490.499"},{"key":"e_1_3_3_10_2","first-page":"364641","article-title":"Severe clostridial pyomyoma following an abortion does not always require surgical intervention","volume":"2011","author":"Stroumsa D","year":"2011","unstructured":"Stroumsa D, , Ben-David E, , Hiller N, , Hochner-Celniker D. Severe clostridial pyomyoma following an abortion does not always require surgical intervention. Case Rep Obstet Gynecol, 2011; 2011:364641.","journal-title":"Case Rep Obstet Gynecol"}],"container-title":["Journal of Gynecologic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/gyn.2015.0115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/gyn.2015.0115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/gyn.2015.0115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:49:59Z","timestamp":1779194999000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/gyn.2015.0115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,18]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,6,1]]}},"alternative-id":["10.1089\/gyn.2015.0115"],"URL":"https:\/\/doi.org\/10.1089\/gyn.2015.0115","relation":{},"ISSN":["1042-4067","1557-7724"],"issn-type":[{"value":"1042-4067","type":"print"},{"value":"1557-7724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,18]]}}}