Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis
Pyometra is the accumulation of pus in the uterine cavity, thus streaching its walls and thinning and enlarging the uterus. This change is characteristic of the senium period of life, when the uterus is atrophie with a stenotic cervical canal. It most frequently occurs as a result of secondary infec...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2002-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2002/0370-81790212409T.pdf |
| _version_ | 1818564253679878144 |
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| author | Todorović Nada 1 Đorđević Vera Antonijević Slobodan |
| author_facet | Todorović Nada 1 Đorđević Vera Antonijević Slobodan |
| author_sort | Todorović Nada 1 |
| collection | DOAJ |
| description | Pyometra is the accumulation of pus in the uterine cavity, thus streaching its walls and thinning and enlarging the uterus. This change is characteristic of the senium period of life, when the uterus is atrophie with a stenotic cervical canal. It most frequently occurs as a result of secondary infection of the cancerogenic tissue of the uterus and additional stenosation and clogging up of cervical canal by a malignant process. Apart from carcinomas of the body and uterus cervix, pyometra less often can occur in other illnesses such as senile endometritis and senile colpitis. As pyometra most frequently occurs in uterine carcinomas, in detection of this state, we must think of malignancy and direct our examination to this direction. In this paper we present a patient in whom pyometra developed because she carried an intrauterine device for forty years that resulted in chronic endometritis. The main symptoms for which the patient was admited to hospital were abdominal pain and intensive suppurative vaginal excretion a month after removal of intrauterine device. The diagnosis of pyometra was made by gynaecological and ultrasound examinations, and also on the basis of gynecological and ultrasound examinations one month after chronic endometritis was confirmed. On the basis of this finding we suspected that chronic endometritis was caused by this state. By cytological, PAP and histopathological examinations of samples obtained by explorative curettage and biopsy of the uterine cervix, malignant changes were eliminated a possible cause. By laboratory analysis and bacteriological examination of the uterine cavity and vaginal excretion, inflammatory changes of the uterine mocous membrane were confirmed as a cause of the pyometra. This conditions was due to carrying the intrauterine device for more decades. The therapy consisted of dilatation of the cervical canal and evacuation of accumulated suppurative contents and irrigation of uterine cavity with 3% solution of hydrogen peroxide and Povidon. Also wide spectrum antibiotics and uterotonics were given. Such treatment contributed to a fast and effectious recovery. |
| first_indexed | 2024-12-14T01:26:42Z |
| format | Article |
| id | doaj.art-1101b0b81b8b410f940d58f1283e552b |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-14T01:26:42Z |
| publishDate | 2002-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-1101b0b81b8b410f940d58f1283e552b2022-12-21T23:22:10ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792002-01-0113011-1240941110.2298/SARH0212409TPyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritisTodorović Nada 1Đorđević VeraAntonijević SlobodanPyometra is the accumulation of pus in the uterine cavity, thus streaching its walls and thinning and enlarging the uterus. This change is characteristic of the senium period of life, when the uterus is atrophie with a stenotic cervical canal. It most frequently occurs as a result of secondary infection of the cancerogenic tissue of the uterus and additional stenosation and clogging up of cervical canal by a malignant process. Apart from carcinomas of the body and uterus cervix, pyometra less often can occur in other illnesses such as senile endometritis and senile colpitis. As pyometra most frequently occurs in uterine carcinomas, in detection of this state, we must think of malignancy and direct our examination to this direction. In this paper we present a patient in whom pyometra developed because she carried an intrauterine device for forty years that resulted in chronic endometritis. The main symptoms for which the patient was admited to hospital were abdominal pain and intensive suppurative vaginal excretion a month after removal of intrauterine device. The diagnosis of pyometra was made by gynaecological and ultrasound examinations, and also on the basis of gynecological and ultrasound examinations one month after chronic endometritis was confirmed. On the basis of this finding we suspected that chronic endometritis was caused by this state. By cytological, PAP and histopathological examinations of samples obtained by explorative curettage and biopsy of the uterine cervix, malignant changes were eliminated a possible cause. By laboratory analysis and bacteriological examination of the uterine cavity and vaginal excretion, inflammatory changes of the uterine mocous membrane were confirmed as a cause of the pyometra. This conditions was due to carrying the intrauterine device for more decades. The therapy consisted of dilatation of the cervical canal and evacuation of accumulated suppurative contents and irrigation of uterine cavity with 3% solution of hydrogen peroxide and Povidon. Also wide spectrum antibiotics and uterotonics were given. Such treatment contributed to a fast and effectious recovery.http://www.doiserbia.nb.rs/img/doi/0370-8179/2002/0370-81790212409T.pdfpyometraintrauterine devicechronic endometritis |
| spellingShingle | Todorović Nada 1 Đorđević Vera Antonijević Slobodan Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis Srpski Arhiv za Celokupno Lekarstvo pyometra intrauterine device chronic endometritis |
| title | Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis |
| title_full | Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis |
| title_fullStr | Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis |
| title_full_unstemmed | Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis |
| title_short | Pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis |
| title_sort | pyometra caused by carrying of an intrauterine device for a period of forty years and chronic endometritis |
| topic | pyometra intrauterine device chronic endometritis |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2002/0370-81790212409T.pdf |
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