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
Related Articles
- EP ID EP375841
- DOI 10.9790/0853-1706037981.
- Views 82
- Downloads 0
The Prevalence of Depression and Anxiety in Mothers of Children with Intellectual Disability
In India mothers are the main caregivers of intellectually disabled children. The study is to investigate the prevalence of depression in their mothers in a teaching hospital, Tamil Nadu. Objectives: The objective of the...
Influence of Deep Breathing Exercise on Anxiety in First Year Medical Students of Tirunelveli.
Background & Objectives: Our modern life is mostly sedentary in nature,that consists of physical inactivity,overeating,exposure to physical and emotional stress .All these acts to cause anxiety in young individuals.Anxie...
Pedicle Thoracoumbilical Flap for Soft Tissue Coverage Defects Around Elbow Region
Pedicle flaps play a vital role for soft tissue reconstruction. One such pedicle flap is based on the vascular territory of the paraumbilical perforator vessels anastomosing with anterior division of lateral cutaneous br...
Good, Bad And The Ugly; Dispensing Accuracy Of The Pharmacists Based On The Good, Legible And Illegible Handwriting Prescription Patterns Of Physicians.
Introduction: It’s no secret that many doctors have poor handwriting. While we sometimes joke about the difficulty in reading doctors’ scrawl, it’s no laughing matter. In fact, it can lead to deadly mistakes. In 1999, on...
Access to Health Education - A Review
The higher health education and the preparation of wellbeing experts has been protest of a few wrangles about. In this manner, there are prominent exchanges on the new learning procedures to prepare wellbeing experts, wi...