Multiple miometrial abscesses. Clinical case and literature review

Authors

  • Edith Ángel
  • Lilia M. Sánchez

DOI:

https://doi.org/10.18597/rcog.551

Keywords:

puerperal infection, endometritis, miometritis, miometrial abscess, pelvic cellulitis, hysterectomy

Abstract

In this article a case and a review of the literature about miometrial abscesses are reported. The patient was a young primiparous woman who presented a puerperal infection. Despite the antibiotic treatment, the clinical status of the patient worsened progressively and signs of systemic inflammatory response persisted. An adnexial mass was founded in the pelvic examination as well as in the ultrasonography.

A laparotomy was practiced at the seventeenth day of puerperium, finding multiple miometrial abscesses and pelvic cellulitis without adnexial masses. Hysterectomy was practiced and treatment with antibiotics was continued. The PO evolution was satisfactory.

We discuss the epidemiology, clinical manifestations and classification of the puerperal infection.

Author Biographies

Edith Ángel

Ginecóloga-Obstetra. Docente Facultad de Medicina, Universidad Nacional de Colombia.

Lilia M. Sánchez

 Patóloga. Docente Facultad de Medicina, Universidad Nacional de Colombia.

References

Azziz R, Cumming J, Naeye R. Acute myometritis and chorioamnionitis during cesarean section of asymptomatic women. Am J Obstet Gynecol 1988;159:1137-9.

Ustun C, Kokcu A, Cil E, Kandemir B. Relationship between endomyometritis and the duration of premature membrane rupture. J Matern Fetal Med 1998;7:243-6.

Gilstrap LC 3rd, Cunningham FG. The bacterial pathogenesis of infection following cesarean section. Obstet Gynecol 1979;53:545-9.

Libombo A, Folgosa R, Bergstrom S. Risk factors in puerperal endometritis-myometritis. An incident case-referent study. Gynecol Obstet Invest 1994;38:198-205.

Libombo A, Folgosa R, Bergstrom S. A case-control study on post-cesarean endometritis-myometritis in Mozambique. Gynecol Obstet Invest 1995;39:180-5.

Bergstrom S, Libombo A. Low birthweight and post partum endometritis-myometritis. Acta Obstet Gynecol Scand 1995;74:611-3.

OOe K, Udagawa H. A new type of fulminant group A streptococcal infection in obstetric patients: report of two cases. Hum Pathol 1997;28:509-12.

Fung TY, Yim SF, Fung HYM. Intramiometral abscess complicating pregnancy. J Reprod Med 1998;43:1002-4.

How to Cite

1.
Ángel E, Sánchez LM. Multiple miometrial abscesses. Clinical case and literature review. Rev. colomb. obstet. ginecol. [Internet]. 2005 Jun. 30 [cited 2024 May 13];56(2):180-4. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/551

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Published

2005-06-30
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