Military and Emergency Medicine, Uniformed Services University of Health, Naval Medical Center Portsmouth, United States of America.
Am J Emerg Med. 2022 Jul;57:235.e1-235.e4. doi: 10.1016/j.ajem.2022.03.064. Epub 2022 Apr 12.
This case is significant to the practice of emergency medicine and describes a unique post-operative infection that to my knowledge has not been described in this age group or under this set of circumstances before. Pyometra is a rare disease that is classically seen in an older cohort, and not commonly on the differential for pediatric patients presenting to the ED with vaginal discharge and fever. While post operative complications such as abscesses may be common following a surgery, intrauterine infections in this context are rare and the treatment is unique. It is important for emergency physicians to have knowledge of pyometra to keep on their differential for abdominal pain and fever after surgery, as well as be familiar with its management and which consultants may need to get involved.
本病例对急诊医学实践具有重要意义，描述了一种独特的术后感染，据我所知，这种感染在该年龄段或在此种情况下以前尚未被描述过。子宫积脓是一种罕见疾病，主要发生在老年人群中，而对于因阴道分泌物和发热而到急诊科就诊的儿科患者，这种疾病并不常见，也不在鉴别诊断范围内。虽然术后并发症（如脓肿）可能在手术后很常见，但这种情况下的子宫内感染很少见，其治疗方法也很独特。对于急诊医生来说，了解子宫积脓的相关知识非常重要，以便在手术后出现腹痛和发热时将其纳入鉴别诊断范围，同时还应熟悉其治疗方法以及需要哪些会诊医生参与治疗。
