Presentation
[…] of the case This patient is a 41-year-old non-pregnant, G1P1001 female, who presented in October 2015 with complaints of pelvic pain and pelvic pressure for two months with associated amenorrhea. [medcraveonline.com]
It is most commonly caused by congenital (present at birth) abnormalities. [fertilitypedia.org]
Case presentation An 18-year-old, gravida 0, white woman presented to an ED with acute lower abdominal pain. The pain began gradually during her strenuous sporting practice hours earlier, limiting her ability to participate. [jmedicalcasereports.biomedcentral.com]
Musculoskeletal
- Narrow Pelvis
Many of his writings (e.g. the narrow pelvis, inflections of the uterus, on hematometra, et al) were articles published in the Prague Quarterly journal. Also called hemometra. [diki.pl]
Urogenital
- Amenorrhea
Common symptoms associated with this disorder include amenorrhea or dysmenorrhea in premenopausal women, pelvic pain or pressure, urinary frequency and retention. [medcraveonline.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]
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. [fertilitypedia.org]
Diagnosis[edit] Although hematometra can often be diagnosed based purely on the patient's history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by ultrasound, which will show [en.wikipedia.org]
- 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]
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]
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
Side effects of the treatment may include cervical stenosis with resulting hematometra (collection of blood in uterus). [diki.pl]
Treatment of CIN after menopause, Eur J Obstet Gynecol Reprod Biol. 2001;95(2):175–180. Borgatta L, Sayegh R, Betstadt SJ, et al. Cervical obstruction complicating second–trimester abortion: treatment with misoprostol. [medcraveonline.com]
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]
Than Mc Indoe vaginoplasty was performed for the treatment. Discussion Genital tract obstruction results in the accumulation of secretions, blood, or both in the uterus and/or vagina, with the location depending on the amount of obstruction. [eurorad.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]
Case report peer-reviewed A Rare Case of Recurrent Hematometra of Unknown Etiology Figures etc. [cureus.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]
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]
Pathophysiology
[…] 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
Ideally, diagnosis should be made early during fetal and neonatal examinations to prevent symptomatic presentations of its complications at puberty. [omicsonline.org]
1999 USPHS/IDSA guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus. [books.google.ro]
Early recognition and treatment prevents severe complications of hematometra such as uterine rupture, infertility and endometriosis. [medcraveonline.com]
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]