Department of Respiratory Medicine, Kure Medical Center, Japan.
Department of Gastroenterology, Kure Medical Center, Japan.
Intern Med. 2023 Apr 15;62(8):1231-1235. doi: 10.2169/internalmedicine.0064-22. Epub 2022 Sep 13.
Pyometra is a rare disease in which pus accumulates in the uterus and is typically caused by stenosis of the cervix. Only a few case reports have indicated that diverticular disease causes pyometra. We herein report an 83-year-old woman presented to our hospital with a fever, loss of appetite, general fatigue and back pain. After some inspections, she was diagnosed with pyometra and lumbar pyogenic spondylitis secondary to diverticulitis of the sigmoid colon. We performed transvaginal drainage and continued antibiotic administration for about three months. The pyometra and pyogenic spondylitis successfully resolved, and she did not experience any recurrence.
子宫积脓是一种罕见的疾病，其中脓液积聚在子宫中，通常由宫颈狭窄引起。只有少数病例报告表明憩室病可导致子宫积脓。我们在此报告一例 83 岁女性，因发热、食欲不振、全身乏力和背痛就诊于我院。经过一些检查，她被诊断为子宫积脓和乙状结肠憩室炎继发的腰椎化脓性脊柱炎。我们进行了经阴道引流，并继续使用抗生素治疗约三个月。子宫积脓和化脓性脊柱炎成功缓解，且她未再出现复发。
