Pyometra
A pyometra is when the uterus is distended with pus.
Pyometra are most likely:
- if the cervical canal is obstructed, for example, by malignancy or as a consequence of radiotherapy
- salpingitis may cause pyometra or pyosalpinx
- after the menopause when there is atrophy of the vaginal epithelium and the endometrium - atrophic endometritis
The main complaint is of a purulent discharge which may be blood stained. The discharge accumulates in the uterus to form a pyometra which on examination, will be enlarged, soft and tender.
Treatment is via drainage of the pyometra. The cause of the pyometra is treated.
Reference
- Chan L.Y., Lau T.K., Wong S.F., Yuen P.M. Pyometra. What is its clinical significance? J. Reprod. Med. 2001;46:952–956
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