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Journal of The Korean Society of Emergency Medicine 2021;32(6): 716-719. |
| Large pyometra mimicking the distended bladder in a postmenopausal female patient |
So Eun Kim
, Jae Chol Yoon
, Tae Oh Jeong
, Young Ho Jin, Jae Back Lee
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| Department of Emergency Medicine, Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea |
| Correspondence |
Jae Back Lee ,Tel: 063-250-1075, Fax: 063-250-1075, Email: baeklee@jbnu.ac.kr,
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Received: March 8, 2021; Revised: June 15, 2021 Accepted: June 22, 2021. Published online: December 31, 2021. |
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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-year-old 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. |
| Key words:
Pyometra; Uterus; Bladder; Postmenopause; Pelvic inflammatory disease |
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