Barry Carole
Arba Minch Hospital, Arba Minch, Ethiopia.
Obstet Gynecol. 2015 May;125(5):1035-1038. doi: 10.1097/AOG.0000000000000664.
Pyometra, an accumulation of pus in the uterine cavity, occurs rarely in children but should be considered in the differential diagnosis of an intra-abdominal or pelvic abscess.
A 10-month-old infant presented with an increasing abdominal mass. She had previous respiratory and diarrheal illnesses. She was underweight, febrile, and tachycardic with an 8×6-cm mobile tender mass in her lower abdomen. Investigations demonstrated leukocytosis and ultrasonogram confirmed a cystic mass. At laparotomy a pyometra was found. Needle aspiration and washout of the uterine cavity were performed but a second procedure was required to place a drain into the cavity.
Pyometra occurs rarely in childhood. A review of cases associates a hypoestrogenized endometrium exposed to transient bacteremia with obstruction to uterine drainage. Treatment should include continuous drainage of the uterus.
子宫积脓是指宫腔内积脓，在儿童中很少见，但在腹腔或盆腔脓肿的鉴别诊断中应予以考虑。
一名10个月大的婴儿出现腹部肿块且不断增大。她曾患呼吸道和腹泻疾病。她体重不足，发热，心动过速，下腹部有一个8×6厘米可移动的压痛肿块。检查显示白细胞增多，超声检查证实有一个囊性肿块。剖腹手术时发现子宫积脓。进行了针吸和宫腔冲洗，但需要进行第二次手术以在宫腔内放置引流管。
子宫积脓在儿童期很少见。对病例的回顾表明，雌激素水平低下的子宫内膜暴露于短暂菌血症且伴有子宫引流受阻。治疗应包括子宫持续引流。
