Clinical Profile and Outcome of Patients with Pyometra in a Tertiary Care Hospital of a Developing Country
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Background: Pyometra occurs when the natural drainage of the uterine cavity is compromised and pus accumulates within the uterine cavity. It is seen most frequently in postmenopausal women, but can occur in premenopausal women. Various malignant and benign diseases have been shown to cause pyometra. Aim: To find out the clinical presentation and histopathological characteristics of 25 patients of pyometra. Methodology: This is prospective case series of 25 patients conducted in the Postgraduate Department of Gynaecology and Obstetrics, LallaDed Hospital, Government Medical College over a period of 5 years from September 2012 to September 2017 after obtaining ethical clearance from the institutional ethical committee. All the patients underwent routine investigations including screening for tuberculosis.The diagnosis was established clinically from the observation of large amounts of pus (10 ml or more) escaping from the uterus after dilatation of the cervix. All cases were confirmed by histologic examination of the endometrial curettings. Results:All patients analysed were postmenopausal (60-80 years). Presenting symptoms included foul smelling purulent vaginal discharge (n=9), postmenopausal bleeding per vaginum (n=8), 5 patients were diagnosed as pyometra on routine USG done for unrelated conditions, acute abdomen (n=2) and 1 patient was post radiotherapy for cervical cancer. The most common histopathological finding was senile endometritis (72%) followed by endometrial cancer (16%) and cervical cancer (4%). Conclusion: Pyometra is serious medical condition necessitating prompt treatment and evaluation.
Authors and Affiliations
Dr. Shagufta Rather, Dr. Samina Sultana, Dr. Sabia Rashid
Keywords
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- EP ID EP375841
- DOI 10.9790/0853-1706037981.
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