Piometra secundario a estenosis cervical en una adolescente / Pyometra secondary to cervical stenosis in an adolescent
Rev. chil. obstet. ginecol. (En línea)
; 86(5): 461-464, oct. 2021. ilus
Article
in Spanish
| LILACS
| ID: biblio-1388682
Responsible library:
CL1.1
RESUMEN
INTRODUCCIÓN:
El piometra es una afección infrecuente, pero grave, que en general se diagnostica en mujeres posmenopáusicas. En adolescentes es sumamente raro, y si se acompaña de amenorrea primaria hay que tener en mente las anomalías congénitas. CASO CLÍNICO Adolescente de 13 años, sin antecedentes personales de interés salvo amenorrea primaria, que acude con abdomen agudo y es intervenida por una peritonitis difusa causada por un piometra secundario a disgenesia (estenosis) cervical congénita. Se realizó dilatación cervical y se dejó una sonda vesical intrauterina para prevenir la reestenosis.CONCLUSIONES:
Un diagnóstico precoz y un tratamiento conservador con dilatación cervical y colocación temporal de un catéter urinario son esenciales para un manejo seguro y efectivo de la estenosis cervical en adolescentes.ABSTRACT
INTRODUCTION:
Pyometra is an uncommon but serious condition that is generally diagnosed in postmenopausal women. In adolescents it is extremely rare; if accompanied by primary amenorrhea, consider congenital abnormalities. CASE REPORT A 13-year-old adolescent, with no relevant personal history except primary amenorrhea, who presented with an acute abdomen and was operated on for diffuse peritonitis caused by pyometra secondary to congenital cervical dysgenesis (stenosis). Cervical dilation was performed and a urinary catheter was temporarily placed inside the uterus to prevent restenosis. CONLUSIONS An early diagnosis and conservative treatment with cervical dilation and temporary placement of a urinary catheter are essential for the safe and effective management of cervical stenosis in adolescents.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Uterine Cervical Diseases
/
Constriction, Pathologic
/
Pyometra
Type of study:
Screening study
Limits:
Adolescent
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. chil. obstet. ginecol. (En línea)
Journal subject:
Ginecologia
/
Obstetr¡cia
Year:
2021
Document type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Hospital Álvaro Cunqueiro/ES