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Idiopathic pyometra and tubo-ovarian abscess in a postmenopausal patient treated conservatively.
Ger Med Sci
July 2022
Gynecology - Obstetrics Department, General Hospital of Pella, Hospital Unit of Edessa, Greece.
Background: Pyometra is a rare gynecological condition and is characterized by pus accumulation in the uterine cavity. It occurs more frequently in postmenopausal women than tubo-ovarian abscesses, which constitute a more common gynecological complication among premenopausal women.
Objective: A 72-year-old woman was admitted to our emergency department with lower abdominal pain, diarrhea and fever for the last three days.
Background: Although spontaneous perforation of pyometra is very rare, it sometimes causes severe peritonitis, leading to lethal conditions. Damage control surgery reportedly improves the survival of critically ill patients; however, there has been no report describing damage control surgery for ruptured pyometra.
Case Presentation: An 83-year-old postmenopausal woman with generalized peritonitis and septic shock was admitted and underwent emergency laparotomy.
Damage Control Management of Perforating Pyometra Presenting with Septic Shock after the Return of Spontaneous Circulation.
Case Rep Med
November 2020
Department of Emergency Medicine, Kansai Rosai Hospital, Amagasaki, Japan.
Article Synopsis
- - A rare case of perforated pyometra was identified during a second-look surgery on a 70-year-old woman who experienced cardiopulmonary arrest due to septic shock.
- - Initial assessments including CT scans and abdominal paracentesis revealed purulent ascitic fluid, indicating an intraperitoneal infection.
- - The report emphasizes the importance of awareness among healthcare providers and suggests performing diagnostic procedures in similar cases to improve patient outcomes before surgical intervention.
First molecular study of Canine herpesvirus-1 in reproductive specimens of adult dogs in southeast of Iran.
Comp Immunol Microbiol Infect Dis
April 2020
Department of Clinical Science, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.
Canine herpesvirus-1 (CHV-1) is recognized to be enzootic in the dog population with a widespread distribution. This pathogen leads to a lethal generalized illness in newborn puppies and is associated with reproductive disorders. CHV-1 should be considered as an important pathogen of neonatal death and infertility; so, it appears to pose a threat for breeding kennels.
View Article and Find Full Text PDFSpontaneous perforation of pyometra presenting as acute abdomen: a rare condition with considerable mortality.
Am J Emerg Med
April 2016
Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266555, Shandong, China. Electronic address:
Pyometra is an uncommon and potentially lethal disease that occurs mainly in postmenopausal women. Spontaneous perforation of pyometra presenting as acute abdomen is an extremely rare complication of pyometra, and the patients are always admitted to the emergency department. An additional case is reported herein.
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