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KMID : 0385920210320060716
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Journal of the Korean Society of Emergency Medicine
2021 Volume.32 No. 6 p.716 ~ p.719
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Large pyometra mimicking the distended bladder in a postmenopausal female patient
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Kim So-Eun
Yoon Jae-Chol
Jeong Tae-Oh
Jin Young-Ho
Lee Jae-Back
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Abstract
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Pyometra is a rare clinical entity, leading to life-threatening complications, such as perforation of the uterus and peritonitis, when the diagnosis is delayed. Emergency department physicians should take into consideration whether older women have a fever and abdominal pain. Early surgical drainage and the diagnosis of pyometra should be confirmed. An 89-yearold woman was admitted to the emergency department because of fever and general fatigue. We reported a clinical case of a postmenopausal woman with a large pyometra, which was misdiagnosed as a distended bladder filled with urine.
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KEYWORD
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Pyometra, Uterus, Bladder, Postmenopause, Pelvic inflammatory disease
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