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Re: PyometraFrom: art fougner, md (evsono@pipeline.com)Thu Jun 30 08:19:06 2005
Pyometra: What Is Its Clinical Significance? Louis Y. Chan, Tze K. Lau, Shell F. Wong and Pong M. Yuen Departments of Obstetrics and Gynaecology, Prince of Wales Hospital, Chinese University of Hong Kong; and Princess Margaret Hospital, Shatin, Hong Kong J Reprod Med 2001;46:952–956 Pyometra is rare. Uterine infection must be present together with cervical stenosis. This occurs most commonly in elderly patients with cervical malignancies obstructing the cervical canal. Endometrial polyps that extend to the cervical os, providing a pathway for ascending infection and at the same time obstructing uterine drainage, are also a potential cause. The most surprising thing about this report from Hong Kong is that almost two-thirds of the patients did not have a malignancy or any other identifiable cause of their pyometra. A degenerating leiomyoma causing pyometra has been the subject of a case report (Grisary et al., Obstet Gynecol 1996;87:882). In the idiopathic cases, the women tend to be older, more debilitated, and have major illnesses, which might leave them more susceptible to infections in general. Hope this helps. art
At Wed, 29 Jun 2005, DoctorJoe@aol.com wrote:
>
-- art fougner, md
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