A Rare Case of Recurrent Hematometra of Unknown Etiology.
bilateral salpingo-oophorectomy
caesarean section
gnrh analogue
hematometra
scar adhesion
total abdominal hysterectomy
usg guided hematometra drainage
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
05
08
2022
accepted:
15
09
2022
entrez:
19
10
2022
pubmed:
20
10
2022
medline:
20
10
2022
Statut:
epublish
Résumé
An abnormal blood collection in the uterus is referred to as hematometra. Obstruction of the genitourinary outflow system caused by earlier surgeries or congenital defects is most frequently related to this rare disorder. The symptoms of hematometra include acute pelvic pain and a history of absent menarche. Here is a case of a 42-year-old female who presented with complaints of severe lower abdominal pain, and pain during urination that was accompanied by vulval itching in June 2021. She had undergone two Caesarean sections and a myomectomy in the past. She was given three monthly injections of gonadotropin-releasing hormone (GnRH) analogue after receiving USG-guided drainage because of a diagnosis of hematometra in January 2021. However, in June 2021, she experienced a recurrence of the same symptoms, necessitating a total abdominal hysterectomy and bilateral salpingo-oophorectomy, which completely resolved the patient's complaints. For a deeper understanding of this issue, further case reporting is necessary.
Identifiants
pubmed: 36258931
doi: 10.7759/cureus.29217
pmc: PMC9569415
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e29217Informations de copyright
Copyright © 2022, Gupta et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
AJR Am J Roentgenol. 2015 Oct;205(4):W451-60
pubmed: 26397352
J Am Assoc Gynecol Laparosc. 1994 Aug;1(4, Part 2):S14
pubmed: 9073690
Int J Surg Case Rep. 2020;68:4-7
pubmed: 32109769
Cochrane Database Syst Rev. 2014 Oct 21;(10):CD004638
pubmed: 25331441
Indian J Endocrinol Metab. 2011 Oct;15(4):261-7
pubmed: 22028996
J Emerg Med. 2016 May;50(5):e231-6
pubmed: 26994838
North Clin Istanb. 2014 Aug 03;1(1):45-48
pubmed: 28058301