Diverticular disease of the colon presenting as pyometra: a case report

Pankaja, Susmita; Rrukaj, Astrit; Bathula, Uma

doi:10.1186/1752-1947-8-135

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…It is commonly caused by malignancy, radiation cervicitis, atrophic cervicitis with aging, and the use of an intrauterine device (1). Diverticular disease is one of the rarest causes of pyometra, and in almost all such cases, the inflammation of diverticulitis directly spreads toward the uterus through a fistula (2,3,4). It is quite interesting that one prior report concluded the cause of the pyometra to be a fistula between the sigmoid colon and the oviduct (5).…”

Section: Discussionmentioning

confidence: 99%

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

et al. 2023

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Pyometra is a rare disease in which pus accumulates in the uterus and is typically caused by stenosis of the cervix. Only a few case reports have indicated that diverticular disease causes pyometra. We herein report an 83-year-old woman presented to our hospital with a fever, loss of appetite, general fatigue and back pain. After some inspections, she was diagnosed with pyometra and lumbar pyogenic spondylitis secondary to diverticulitis of the sigmoid colon. We performed transvaginal drainage and continued antibiotic administration for about three months. The pyometra and pyogenic spondylitis successfully resolved, and she did not experience any recurrence.

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Section: Discussionmentioning

confidence: 99%

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

et al. 2023

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“…Given such rarity, it may be an easily missed diagnosis. Risk factors include advanced age, post-menopausal status, uterine tumors, radiation cervicitis, atrophic cervicitis, and prior intrauterine device (IUD) use [[1], [2], [3], [4], [5], [6], [7], [8], [9], [10]]. Pyometra due to colouterine fistula has also been reported in some prior cases [6].…”

Section: Discussionmentioning

confidence: 99%

Pyometra due to Pseudomonas aeruginosa

McLeod

Lastinger

2019

IDCases

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Pyometra is an unusual presentation of uterine infection, this condition is characterized by purulent fluid within the uterine cavity. In this report we describe pyometra due to Pseudomonas aeruginosa in a 90-year-old woman who presented with abdominal pain, nausea with emesis and diarrhea. She was evaluated at an outside emergency department and computed tomography (CT) revealed a large, complex, cystic mass measuring 9.2 cm (cm) in greatest diameter. Given her age, the diagnosis of malignancy was entertained. She was referred to gynecologic-oncology service for evaluation and underwent exploratory laparotomy with total abdominal hysterectomy and lysis of adhesions. Intraoperative findings were consistent with pyometra. Cultures ultimately grew Pseudomonas aeruginosa . She initiated on antibacterial therapy and was discharged to a rehabilitation facility.

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“…Diverticular disease represents symptoms referable to the presence of diverticulosis, which includes bleeding, perforation, segmental colitis. 2 As age increases, the incidence of diverticular disease also increases. Diverticular disease affects 50% of those aged more than 60 years and almost 80 % of the population aged more than 80 years.…”

Section: Introductionmentioning

confidence: 99%

A series of emergency presentations of diverticular disease of colon

Kannan²,

Prabakar³

2022

Int Surg J

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Diverticular disease of the colon is commonly prevalent in developed countries, especially in the western population. This is mainly attributed towards their food habits which include less dietary fibre which is the primordial cause of diverticular disease. Its incidence is gradually increasing in developing countries, especially in southern parts of India due to rapid change in food habits which are moving towards western culture. Majority of the patients with diverticular disease may remain asymptomatic. Diverticular disease presents to the hospital with a wide variety of symptoms such as lower abdominal pain, fever, malaise, bleeding per rectum which manifests because of its complications. Hence the early presentations of diverticular disease should not be missed and proper evaluation should be carried out in suspicious cases to prevent complications which can be deadly. Here we present a series of cases that are received in our emergency department as a complication of diverticular disease. This is a case series in which we study the emergency presentations of diverticular diseases admitted in Rajiv Gandhi government general hospital. Here diverticular disease is proven by a series of investigations that include evaluation of acute abdomen such as x ray abdomen erect, ultrasound abdomen, contrast enhanced computed tomography and histopathological examination with appropriate management.

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Diverticular disease of the colon presenting as pyometra: a case report

Cited by 5 publications

References 6 publications

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

Pyometra due to Pseudomonas aeruginosa

A series of emergency presentations of diverticular disease of colon

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