Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

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, gener...

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Bibliographic Details
Published in:Internal medicine (Tokyo, 1992) 1992), 2023-04, Vol.62 (8), p.1231-1235, Article 0064-22
Main Authors: Okusaki, Tai, Araki, Yusuke, Narai, Seika, Hamada, Takuro, Kusunoki, Ryusaku, Oda, Akihiro, Nakamura, Hiroko
Format: Article
Language:English
Subjects:
Aged, 80 and over
Appetite loss
Case Report
Case reports
Colon
Colon, Sigmoid - diagnostic imaging
Diverticulitis - complications
Diverticulitis - diagnosis
Drainage
Female
Humans
Internal medicine
Pyometra - complications
Spondylitis
Spondylitis - diagnosis
Spondylitis - diagnostic imaging
Stenosis
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Summary: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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0064-22