Case Follow-up

  • One fetus was manually extracted. This fetus was deceased.

  • A cesarean section and ovariohysterectomy was performed.

  • The other 4 fetuses delivered by C-section were deceased.

  • Peritonitis and diffuse petechia was noted.

  • Peritoneal fluid was collected for cytology and aerobic culture.

  • Peritoneal cytology: Free bacteria and neutrophils present.

  • Peritoneal culture: Enterococcus faecalis.

  • Patient died within 24 hours post surgery.