Presentation
Case ReportClinical Studies Anticancer Research May 2016, 36 (5) 2353-2357; Abstract Background: Although most postmenopausal women diagnosed with endometrial cancer usually present with vaginal bleeding, when complete cervical stenosis is present, this [ar.iiarjournals.org]
Imperforate hymen presenting as chronic low back pain. Pediatrics 2013;132:768-770. Gupta P, Gupta S, Jindal S, Chopra K, Sinha M, Arora A. [medigraphic.com]
[hemato + G. metra, uterus] * * * he·ma·to·me·tra or chiefly Brit hae·ma·to·me·tra .hē mət ə mē trəalso .hem ət n an accumulation of blood or menstrual fluid in the uterus… … Medical dictionary We are using cookies for the best presentation of our site [medicine.academic.ru]
BACKGROUND: Although most postmenopausal women diagnosed with endometrial cancer usually present with vaginal bleeding, when complete cervical stenosis is present, this sign may be missing. [ncbi.nlm.nih.gov]
Entire Body System
- Surgical Procedure
Hematometra can be due to congenital problems, improper healing following a surgical procedure, or certain illnesses, including: Transverse vaginal septum Imperforate hymen Damage from surgical procedure Endometrial scar tissue Endometriosis Following [fertilitysmarts.com]
Acquired cervical stenosis can develop due to surgical procedures performed on the uterus or cervix. [medcrave.com]
A surgical procedure is involved when treating vaginal septum defects to stop the accumulation of blood clots in the uterus. During hematometra, you`ll be advised to use daily absorbents to face bloody vaginal discharges. [pregworld.org]
This can result either in primary amenorrhoea associated with a pelvic mass, or in secondary amenorrhoea, usually following a surgical procedure on the uterus or cervix. [link.springer.com]
- Asymptomatic
She is asymptomatic till date. Key words: Endometriosis, haematometra, rudimentary horn doi:10.3126/njog.v2i1.1480 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 59 - 62 May -June 2007 [nepjol.info]
Can be asymptomatic and an incidental finding on imaging or post-mortem. Blood-stained purulent vaginal discharge. Symmetrical uterine enlargement. Lower abdo pain. Pyrexia (rare). [quizlet.com]
[…] frequency and urinary retention.[2] Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea (pain during menstruation) or amenorrhea (lack of menstruation), while postmenopausal women are more likely to be asymptomatic [en.wikipedia.org]
- Fever
A few hours later, I spiked a fever and felt some pain in my lower abdomen. I called the after hours number at my OB's office, and the on-call doctor prescribed some antibiotics. [community.babycenter.com]
Postabortion triad: Pain, bleeding, and low-grade fevers are the most common presenting complaints. Postabortion triad usually is caused by retained products of conception. [emedicine.medscape.com]
Source: Cochrane Clinical Answers - 24 April 2019 hemorrhage, muscle fasciculation, fever, myometritis, pelvic sepsis, hematometra, glycine toxicity or uterine tamponade; results for... [evidence.nhs.uk]
It may be associated with pyometra, especially after termination of pregnancy, when the patient may have a high fever and other evidence of infection. [gopatients.info]
- Inflammation
Definition / general Endocervix normally forms barrier to ascending infection Chlamydia: associated with severe acute / chronic inflammation Coccidiomycosis: may be secondary to resolved primary lung infection Giant cell arteritis: may involve uterus [pathologyoutlines.com]
If left untreated, the infection may spread to the abdominal cavity (leading to peritonitis, the inflammation of the membrane lining the inside of the abdominal cavity) or to the bloodstream (causing sepsis). [fertilitypedia.org]
In case you suffer of hematosalpinx, the doctor will recommend during the first phase medication to treat the inflammation or infection. [pregworld.org]
The most familiar prototype of these infections, the so-called senile vaginitis, should actually be regarded as a misnomer; the condition is not actually an inflammation as the term would indicate. [yumpu.com]
- Swelling
A 15-year-old female mongrel dog showed abdominal swelling, marked hemorrhagic ascites and vulvar discharge, and ovariohysterectomy was performed. Grossly, the uterus was enlarged bilaterally without apparent mass formation. [vetcontact.com]
Lower abdominal swelling and tenderness. May present with severe primary dysmenorrhoea. May be associated with pyometra, especially after TOP. [quizlet.com]
Acute haematometra is a rare complication following induced termination of pregnancy. [ 4 ] Presentation Amenorrhoea, but there may be some menstrual blood flow. [ 5 ] Lower abdominal swelling and tenderness. [gopatients.info]
Gastrointestinal
- Vomiting
CASE PRESENTATION A 29-year-old female presented with abdominal pain, nausea, and vomiting for one day. The pain was in the lower abdomen and described as an achy, constant, fluctuating pain. [westjem.com]
The symptoms include: Severe cramping Sweating Lightheadedness Nausea Vomiting and diarrhea (occasionally) On exam, the patient may exhibit the following signs: Sweating Paleness Slight tachycardia Uterus is tense, tender, and enlarged on bimanual exam [affection.org]
… Contributor: Jared Scott, MD Educational Pearls: Cerebellar strokes make up a disproportionate number of missed or delayed diagnosis for stroke likely due to the subtle nature of the presentation Cerebellar strokes can present with vomiting, dizziness [player.fm]
The patient was having vomiting and colicky abdominal pain with gradual distension of lower abdomen. She had a tense, tender mass corresponding to 30 weeks of pregnacy. Bowel sounds were absent. [jpgo.org]
[…] findings may include: Dysmetria: lack of coordination with overshooting/undershooting intended position of limb Dysdiadochokinesia: difficulty with rapid alternating movements Ataxia Nystagmus Consider a cerebellar stroke in patients presenting with vomiting [podtail.com]
- Nausea
CASE PRESENTATION A 29-year-old female presented with abdominal pain, nausea, and vomiting for one day. The pain was in the lower abdomen and described as an achy, constant, fluctuating pain. [westjem.com]
The symptoms include: Severe cramping Sweating Lightheadedness Nausea Vomiting and diarrhea (occasionally) On exam, the patient may exhibit the following signs: Sweating Paleness Slight tachycardia Uterus is tense, tender, and enlarged on bimanual exam [affection.org]
Hours later, she experienced nausea and emesis. She found pain relief when crouching, exacerbation during emesis and micturition, and no relief with nonsteroidal anti-inflammatory drugs. [jmedicalcasereports.biomedcentral.com]
If initially unrecognized, patients present with abdominal pain, fever, blood in the stool, nausea, and vomiting. [15] Bladder injury: This occurs as a result of uterine or cervical perforation. Patients present with suprapubic pain and hematuria. [emedicine.medscape.com]
- Diarrhea
The symptoms include: Severe cramping Sweating Lightheadedness Nausea Vomiting and diarrhea (occasionally) On exam, the patient may exhibit the following signs: Sweating Paleness Slight tachycardia Uterus is tense, tender, and enlarged on bimanual exam [affection.org]
Cardiovascular
- Tachycardia
The symptoms include: Severe cramping Sweating Lightheadedness Nausea Vomiting and diarrhea (occasionally) On exam, the patient may exhibit the following signs: Sweating Paleness Slight tachycardia Uterus is tense, tender, and enlarged on bimanual exam [affection.org]
Tachycardia and hypotension may be signs of severe hemorrhage or septic shock. Abdominal examination Suprapubic tenderness is common in the postabortion period. [emedicine.medscape.com]
Neurologic
- Apathy
Complications and side effects, Menopause, Cervix uteri, Uterine bleeding, Uterine hemorrhage Article Abstract: Menopause, the cessation of menstruation, is associated with osteoporosis, or bone loss, nervousness, hot flashes, chills, excitability, fatigue, apathy [readabstracts.com]
Urogenital
- Amenorrhea
Common symptoms associated with this disorder include amenorrhea or dysmenorrhea in premenopausal women, pelvic pain or pressure, urinary frequency and retention. [medcrave.com]
In young women, it usually presents with primary amenorrhea with distended abdomen and lower abdominal pain. In older women, it should be suspected in cases with secondary amenorrhea with lower abdominal pain. [radiopaedia.org]
CASE REPORT A 28-year-old female presented as an emergency with 1½ months’ amenorrhea and acute pain abdomen. She had had two normal deliveries and one intrauterine death, which had been followed by manual removal of the placenta. [ncbi.nlm.nih.gov]
- Enlarged Uterus
However, in a patient known with an uterus myomatosus presenting with abdominal pain, an enlarged uterus and secondary amenorrhea a hematometra must be considered. [ntvg.nl]
A formal pelvic ultrasound was performed and showed an enlarged uterus with mixed echogenic contents within the endometrial cavity likely representing hemorrhage of different ages and ongoing bleeding (Image 2). [westjem.com]
Cuprins Diethylstilbestrol 159 Adnexal Masses 183 Hirsutism 199 Contraception 213 Infertility 236 Menopause 256 Evaluation of Sexual Dysfunction 275 Sexual Harassment Sexual Exploitation of Patients 289 Amenorrhea 105 Abnormal Uterine Bleeding 119 The Enlarged [books.google.ro]
The MR pictures showed an enlarged uterus. A hyperintense collection on all sequences in the uterine cavity was observed. The fluid in the cavity is thought to be subacute blood products.The thickness of the myometrium was markedly decreased. [eurorad.org]
patients may develop low blood pressure or a vasovagal response.[4] When palpated, the uterus will typically feel firm and enlarged.[4] Pathophysiology[edit] Hematometra develops when the uterus becomes distended with blood secondary to obstruction [en.wikipedia.org]
- Vaginal Discharge
A surgical procedure is involved when treating vaginal septum defects to stop the accumulation of blood clots in the uterus. During hematometra, you`ll be advised to use daily absorbents to face bloody vaginal discharges. [pregworld.org]
Blood-stained purulent vaginal discharge. Symmetrical uterine enlargement. Lower abdo pain. Pyrexia (rare). Extremely rarely, they can spontaneously perforate and present with an acute abdomen. [quizlet.com]
Most often, patients presenting congenital cervical atresia will develop symptoms, such as dysmenorrhea, pelvic pain or foul vaginal discharge one or two years after menarche (1, 2). [ar.iiarjournals.org]
Patients present with fever, chills, abdominal pain, vaginal discharge, vaginal bleeding, and history of recent pregnancy. [16] Failed abortion (continued intrauterine or ectopic pregnancy): Failure to terminate the pregnancy is relatively common with [emedicine.medscape.com]
Workup
In one case, multiple diagnostic workups including invasive procedures such as exploratory laparoscopy were conducted prior to the appropriate diagnosis [4]. [jmedicalcasereports.biomedcentral.com]
[…] include liver function tests, acetaminophen level, salicylate levels, urine drug screens, particularly in unknown ingestions Your local toxicologist (if you are fortunate to have one) or the Poison Center can always provide assistance in treatment and workup [podtail.com]
Treatment
Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.com]
Several local alternative treatments with varying adverse health implications have been reported. We present a case of a nullipara who developed massive haematometra from herbal treatment for symptomatic uterine fibroids. [ajol.info]
The first treatment is drainage of the hematometra, secundary a myomectomy should be performed. Treatment for leiomyoma can consist of surgical treatment, uterine artery embolisation and medical treatment. [ntvg.nl]
Treatment The treatment of this condition involves treating the cause which lead to the disease. In case you suffer of hematosalpinx, the doctor will recommend during the first phase medication to treat the inflammation or infection. [pregworld.org]
Prognosis
Clinical and histopathologic factors related to prognosis in primary squamous cell carcinoma of the vagina. Int J Gynecol Cancer. 2006;16(3):1201–11. [link.springer.com]
Patient and her parents were counseled about poor prognosis in view of cervical stenosis and were asked to follow up as the definitive plan in this case was hysterectomy. [jpgo.org]
Etiology
The recent occurrence of three cases of post-menopausal haematometra in this Department, depicting a varied and very interesting etiology, has prompted their report and discussion. Case 1. [yumpu.com]
Synonyms/Description Hydrometra and hydrocolpos Pyometra and pyocolpos Etiology The most common etiology is cervical or vaginal obstruction, resulting in a collection of blood, pus, or fluid that distends the uterus or vagina. [clinicalgate.com]
However, the precise underlying etiology of the obstruction in our patient remained unclear. Conclusion This case is an unusual case of acquired spontaneous hematometra and hematotrachelos and an unusual presentation of vaginal carcinoma. [link.springer.com]
[…] uterus: a case report and literature review. 62 Gao K...Yu M 35486154 2022 12 Morbidly Adherent Placenta in the First Trimester with Consecutive Hysterectomy. 62 Habek D...Ivanisevic M 35785814 2022 13 A Rare Case of Recurrent Hematometra of Unknown Etiology [malacards.org]
Relevancy Score: 3 Gómez Arzapalo E - - 2001 The hematometra is a nosological entity that may not always be attributed to an embryonic defect of the paramesonefros; cervical-vaginal infections such as etiological possibilities due to Listeria monocytogenes [biomedsearch.com]
Epidemiology
[…] intrauterine pregnancy diagnosed by point-of-care ultrasound: a case report. 62 Chan AHY...Chenkin J 34816391 2022 24 Distal vaginal agenesis and differential diagnosis of other causes of hematocolpos. 62 Hobzova Pavlina...Novackova Marta 36316217 2022 25 Epidemiological [malacards.org]
Pathophysiology
Pathophysiology Hematometra develops when the uterus becomes distended with blood secondary to an obstruction of the lower reproductive tract -the uterus, cervix or vagina – which should otherwise allow the flow of menstrual blood 3. [nursespost.com]
[…] while postmenopausal women are more likely to be asymptomatic.[3] Due to the accumulation of blood in the uterus, patients may develop low blood pressure or a vasovagal response.[4] When palpated, the uterus will typically feel firm and enlarged.[4] Pathophysiology [en.wikipedia.org]
Prevention
1999 USPHS/IDSA guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus. [books.google.ro]
Hormone replacement therapy with estrogen and progesterone is used to prevent osteoporosis, loss of bone mass, in women who are past menopause. It is most effective in preventing bone loss between early menopause and age 65. [readabstracts.com]
Ideally, diagnosis should be made early during fetal and neonatal examinations to prevent symptomatic presentations of its complications at puberty. [omicsonline.org]
Other procedures may be required to address the cause of the blockage and prevent another hematometra from forming. Additionally, treatment would restore a woman's ability to concieve. [fertilitysmarts.com]