Pyometra

Authors

  • Dimas Satria Yolanda Resident of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang

DOI:

https://doi.org/10.25077/aoj.3.1.64-69.2019

Abstract

Background : Pyometra is a rare condition with an incidence ranging from 0.01 - 0.5% among all gynecological patients.2 Pyometra is known to be rare in the general population and is more common in elderly women.3 In postmenopausal elderly patients, the incidence increases to 13.6% .4. The classic triometry of pyometra is postmenopausal bleeding, purulent vaginal discharge, and lower abdominal pain,

Objective : Report the handling of pyometra cases

Case Report : reportedly a 73-year-old woman came to the ER of RSUP Dr. M. Djamil on December 10, 2018 at 14.30, a referral from BMC Padang hospital with a diagnosis of abdominal pain susp. intraabdominal tumor. Ultrasound examination showed the uterus in normal size which was not in accordance with the picture of pyometra. Laparotomy with adhesionolysis and aspiration of pus in the patient was performed. This is appropriate for evacuating the pyometra mass in this case.

Conclusion : In this case, to overcome the infection and evacuate the masses. The recommended antibiotics are broad-spectrum antibiotics, such as penicillin, piperacillin tazobactam, imipenem, meropenem, metronidazole, and vancomycin. Mass evacuation can be done by laparotomy or curettage accompanied by cervical dilatation.

Keywords: Pyometra, pascamenoupose

References

Gharabaghi PM, Bordbar S, Vazifekhah S, Behzad MN. Spontaneous Rupture of pyometra in a Nonpregnant Young Woman. Case Report in Obstetrics and Gynecology. 2017: 1-3

Konishi Y, Kagabu S, Mori K, Kato M. Uterine perforation of pyometra in a Cervical Cancer: A Case Report and Literature Review. Journal of Obstetrics and Gynecology. 2016; 36: 378-9

Huang Y, Tian Q. Postmenopausal Spontaneous Rupture of pyometra: A Case Report. Medicine. 2018; 97(52): 1-3

Bacanakgil BH, Yildirim SG. Postenopausal pyometra related to forgotten intrauterie device. Radiology of Infectious Disease. 2018: 177-9

Patel UR, Sharma R, Arora DS. A Case of Postmenopausal pyometra Caused By Endometrial Tuberculosis. IOSR-JDMS. 2015; 14(11): 91-4

Cenizal MC, Aquilizan LF. Spontaneous Uterine Rupture Secondary To pyometra In a Cervical Cancer Patient: a Case Report.J Obstet Gynecol Res. 2017; 43: 87-101

Jeon HS, Shin HJ, Kim IH, Chung H, Chung DY. Spontaneous Uterine Perforation of pyometra Presented As An Acute Abdomen: A Case Report. Korean J Obstet Gynecol. 2012; 55(6): 437-40

Agarwal R, Suneja A, Sharma A, Vaid NB. An Unusual Etiology of Spontaneous Pyometra Perforation; A Case Report. J Reprod Infertil. 2011;12(3):235-238

McLeod N, Lastinger A. Pyometra due to Pseudomonas aureginosa. IDCases;2019:17(e054)

Yildhizan B, Uyar E, Sismagolu A, Gulloglu G, Navak Z. Spontaneous Perforation of Pyometra: A Case Report

Patel UR, Sharma R, Arora DS. A Case of Postmenopausal Pyometra Caused By Endometrial Tuberculosis. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 11 Ver. IV (Nov. 2015), PP 91-94

Prabhala S, Erukkambathu J, Basanavanaphali M, Tanikella R. Endometrial actinomyosis associated with intrauterine contraceptive device forgotten for 44 years. Med J DY Patil Univ. 2016;9:231-3

Downloads

Published

2019-11-27

Issue

Section

CASE REPORT