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Re: Pyometra From: Peter Wein (pwein@unimelb.edu.au) Wed Jun 29 21:32:27 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Ainsworth: "Re: Pyometra" Previous message: Dr. Ainsworth: "Re: Pyometra" In reply to: Dr. Ainsworth: "Pyometra" Next in thread: RModugno@aol.com: "Re: Pyometra" Pyometra is a classic presentation of endometrial carcinoma - suggest hysteroscopy/ curettage when completes antibiotics. - You have already demonstrated an abnormality that needs removal in the polyp. -- Peter Wein > I saw a pleasant 82 yo widowed-lady last week. She is not sexually > active and was referred because of "recurrent vaginal spotting" over the > past two years. No other complaints, in fact she didn't even feel she > had a problem, takes no meds, no health problems. Her FP ordered a > sonogram before I saw her that showed fluid within the endometrial > cavity and possibly a 12mm polyp. I suggested an endometrial biopsy > which she reluctantly agreed to. When I introduced the pipelle, which > slid in without resistance, much to my suprise, it filled quickly with > purulent material. I replaced it with an explorer curette and the > syringe filled with 8 cc of pus and was blood tinged. Pathology came > back benign with mucopurelent material. The culture showed diphtheroids > and enterococcus. I placed her on Doxycycline at the time of the > biopsy, when the culture and sensitivity came back the only thing it was > sensitive to was Vancomycin. My plan is to finish the current > antibiotics and repeat the sonogram in a month. Does anyone feel that a > hysteroscopy is necessary at this point? Any ideas on why she would > present with this unusual finding? > Next message: Dr. Ainsworth: "Re: Pyometra" Previous message: Dr. Ainsworth: "Re: Pyometra" In reply to: Dr. Ainsworth: "Pyometra" Next in thread: RModugno@aol.com: "Re: Pyometra"

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