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Revista Colombiana de Obstetricia y Ginecología
Print version ISSN 0034-7434On-line version ISSN 2463-0225
Abstract
ANGEL, Edith and SANCHEZ, Lilia M. Multiple miometrial abscesses: clinical case and literature review. Rev Colomb Obstet Ginecol [online]. 2005, vol.56, n.2, pp.180-184. ISSN 0034-7434.
In this article a case and a review of the literature about miometrial abscesses are reported. The patient was a young primiparous woman who presented a puerperal infection. Despite the antibiotic treatment, the clinical status of the patient worsened progressively and signs of systemic inflammatory response persisted. An adnexial mass was founded in the pelvic examination as well as in the ultrasonography. A laparotomy was practiced at the seventeenth day of puerperium, finding multiple miometrial abscesses and pelvic cellulitis without adnexial masses. Hysterectomy was practiced and treatment with antibiotics was continued. The PO evolution was satisfactory. We discuss the epidemiology, clinical manifestations and classification of the puerperal infection.
Keywords : puerperal infection; endometritis; miometritis; miometrial abscess; pelvic cellulitis; hysterectomy.