Lobato MJL, San Roman SMV, López VM

Language: Spanish
References: 8
Page: 426-430
PDF size: 201.95 Kb.

ABSTRACT

Pyometra is an accumulation of pus in the endometrial cavity. It occurs when there is a stenosed cervical os as a result of malignant growths in the uterus or cervix, surgery or radiation therapy and senile atrophy. We present the case of an 84-year-old female patient referred to the Emergency Service of the Basurto University Hospital in Bilbao, Spain by the doctor of the nursing home where she is institutionalized because of a two-week history of continued fever without apparent cause. She was diagnosed with urinary tract infection and treated with amoxicillin/clavulanate. Based on the imaging tests, a pyometra in bicornuate uterus was diagnosed. She underwent drainage of the pyometra via the vaginal route, under general anesthesia, after mechanical dilation of the cervical canal. Treatment with ertapenen was prescribed. Progression was satisfactory. Given the rarity of this case, we decided to present it.

REFERENCES

1. Zeferino Toquero M, Bañuelos Flores J. Peritonitis secundaria a piometra perforado en cáncer de cuello uterino. Ginecol Obstet Mex. 2005 ; 73: 618-21.

2. Togo Peraza JM, Ayala Castellanos MM, López Sandoval R. Piometra senil benigno: comunicación de un caso. Ginecol Obstet Mex. 2008 ; 76 (4): 224-7.

3. Chan LY, Lau TK, Wong SF, Yuen PM. Pyometra. What is its clinical significance?. Reprod Med. 2001 ; 46 (11): 952-6.

4. Barredo Santamaría I, Aperribay Ulacia M, Bruña Pérez JM. Endometritis xantogranulomatosa. Presentación de un caso. Rev Esp Patol. 2004 ; 37 (4): 419-22.

5. Sánchez González MC, Pérez García M, Hornillos Calvo M. Presentación atípica de la piometra en mujer anciana. Rev Esp Geriatr Gerontol. 2011 ; 46 (4): 233-4.

6. Muram D, Drouin P, Thompson FE, Oxorn H. Pyometra. Can Med Assoc J. 1981 ; 125 (6): 589-92.

7. Ou YC, Lan KC, Lin H, Tsai CC, Chang Chien CC. Clinical characteristics of perforated pyometra and impending perforation: specific issues in gynecological emergency. J Obstet Gynaecol Res. 2010 ; 36 (3): 661-6.

8. Shayya RF, Weinstein MM, Lukacz ES. Pyometra after Le Fort colpocleisis resolved with interventional radiology drainage. Obstet Gynecol. 2009 ; 113 (2 Pt 2): 566-8.