2022
DOI: 10.7759/cureus.32775
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Massive Pyometra Due to Senile Endometritis in a Postmenopausal Woman: A Rare Entity

Abstract: An 83-year-old postmenopausal female P5L5 (all full-term normal deliveries) presented with complaints of foul-smelling purulent discharge per vagina for 15 days associated with pain in abdomen. A midline mass was palpable per abdomen in the suprapubic region corresponding to 16 weeks size gravid uterus, which was soft to firm in consistency. On examination per vaginum, the atrophied cervix was found flush with the vagina and purulent discharge was seen draining through the cervix. Blood reports showed raised t… Show more

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Cited by 2 publications
(4 citation statements)
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“…Mukai et al drained their pyometra at three different intervals and gave intrauterine lavage [ 16 ]. Waghe et al had done dilatation and curettage preceding with admission of higher antibiotics [ 1 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Mukai et al drained their pyometra at three different intervals and gave intrauterine lavage [ 16 ]. Waghe et al had done dilatation and curettage preceding with admission of higher antibiotics [ 1 ].…”
Section: Discussionmentioning
confidence: 99%
“…Pyometra is the accumulation of purulent material in the uterine cavity due to the blockage of the natural drainage of the uterus; it is usually seen among 0.01-0.5% of gynaecological patients [ 1 , 2 ]. The majority of pyometra cases occur among older, postmenopausal women who have had recent intrauterine surgery or who have concomitant conditions, including high blood pressure, rheumatoid arthritis, osteoarthritis, or poor glucose tolerance [ 3 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Conversely, PRP induces angiogenesis and promotes tissue repair and regeneration, which is applicable in the GUS of menopause treatment, where tissue restoration improves vaginal atrophy. 28 The mechanism of action of PRP involves concentrating platelets from a patient's blood in a specific area to trigger cell proliferation, angiogenesis, and tissue repair. Therefore, the role of PRP is to manage GUS of menopause signs and symptoms by initiating regenerative properties through which urinary and vaginal tissue rejuvenation occurs.…”
Section: Ebd and Prpmentioning
confidence: 99%