PDF(Pubmed)
Abstract：
Pyometra is a very uncommon condition in postmenopausal women that rarely improves with standard antibiotic treatments. It is usually overlooked as the patient presents with vague symptoms. Our case presented a postmenopausal woman with sepsis due to a huge pyometra. Swabs for sensitivity, tubercular gene testing, and basic blood workup were done, and the patient was started on intravenous antibiotic therapy. Pyometra drainage could not be done due to thin, friable uterine walls. When the patient had improved, a clinically total abdominal hysterectomy was done after ruling out malignant causes. Delay in the diagnosis of this condition may lead to perforation, which may, in turn, cause peritonitis, which may gravely affect the patient.
摘要：
Pyometra是绝经后妇女的一种非常罕见的疾病，很少能通过标准的抗生素治疗得到改善。由于患者表现出模糊的症状，因此通常会被忽视。我们的病例显示一名绝经后妇女因巨大的子宫积脓而出现败血症。敏感性拭子，结核基因检测,做了基本的血液检查，患者开始静脉注射抗生素治疗.由于变薄，不能进行子宫积脓引流，脆弱的子宫壁.当病人好转时，在排除恶性原因后，进行了临床上的腹式全子宫切除术。这种情况的诊断延迟可能导致穿孔，可能，反过来,引起腹膜炎,这可能会严重影响患者。
