지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Pyometra is a very uncommon disease principally occurring in postmenopausal women. It is characterized by the accumulation of purulent material within the uterine cavity. This paper presents the clinical history of a 35-year-old premenopausal woman with otherwise normal menstruation who developed heavy menstruation and was diagnosed with a benign pyometra of indeterminate etiology in March 2017. The patient underwent repeated ultrasound-guided drainage, dilation and curettage, and antibiotic therapy. Biopsies of the pelvic sidewall revealed endometriosis in June 2017. The heavy menstruation and suppurative fluid in the uterus of the patient persisted in which intramuscular leuprolide acetate was prescribed to address the endometriosis and heavy menstrual bleeding. Ultimately, the leuprolide acetate effectively resolved the patient’s bleeding and pyometra. The medication was concluded after 12 months of supervision and the patient is currently symptom free. Pyometra is an unusual condition rarely identified in premenopausal women. Drainage and antibiotic therapy are routinely employed; however, one may consider gonadotropin-releasing hormone agonist medication to potentially confer a beneficial patient outcome in rare cases where endometriosis and bleeding are intractable.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Muram D / 1981 / Pyometra / Can Med Assoc J 125:589~592
Chan LY / 2001 / What is its clinical significance? / J Reprod Med 46:952~956
Kerimoglu OS / 2015 / Pyometra in elderly post-menopausal women : a sign of malignity / Eur J Gynaecol Oncol 36:59~61
Imachi M / 1993 / Spontaneous perforation of pyometra presenting as generalized peritonitis in a patient with cervical cancer / Gynecol Oncol 50:384~388
Akazawa K / 1991 / Clinico-statistical study on pyometra in high-aged outpatients / Nihon Sanka Fujinka Gakkai Zasshi 43:1539~1545
Chan LY / 2001 / What is its clinical significance? / J Reprod Med 46:952~956
Kerimoglu OS / 2015 / Pyometra in elderly post-menopausal women : a sign of malignity / Eur J Gynaecol Oncol 36:59~61
Imachi M / 1993 / Spontaneous perforation of pyometra presenting as generalized peritonitis in a patient with cervical cancer / Gynecol Oncol 50:384~388
Akazawa K / 1991 / Clinico-statistical study on pyometra in high-aged outpatients / Nihon Sanka Fujinka Gakkai Zasshi 43:1539~1545
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