Diagnostic laparoscopy complicated by group A streptococcal necrotizing fasciitis.

摘要

A 33-year-old multiparous woman came to our emergency gynecology clinic with a 1-day history of acute abdominal pain. Her last menstrual period occurred 6 weeks previously. She described intermittent crampy central and lower abdominal pain for 24 hours that was associated with 4 episodes of vomiting and 1 episode of diarrhea. She denied vaginal bleeding, shoulder tip pain, and dizziness. Her history included appendectomy, 2 transverse laparotomy procedures (1 salpingectomy because of tubal ectopic pregnancy and 1 because of torsion of a luteal cyst), and 1 midline laparotomy because of ovarian torsion. Subsequently, she had 3 emergency cesarean section deliveries. She had been using an oral contraceptive pill.