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Erschienen in:
15.05.2020 | Images in Nephrology
Pyometra in a hemodialysis patient with severe constipation
Erschienen in: Clinical and Experimental Nephrology | Ausgabe 9/2020
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An 87-year-old woman undergoing intermittent hemodialysis suffered from prolonged fever, leukocytosis, and an increase in C-reactive protein. The use of antibiotics was ineffective and she was referred to our hospital. Computed tomography revealed a pooling of fluid with gas within the uterus and a huge amount of stools with metallic density in the colon (Fig. 1). She was diagnosed as having pyometra due to severe constipation. Following the forced defecation by an enema, the pus flowed out from the endometrial cavity, and her conditions improved. Since then, pyometra has not recurred over a year by the control of defecation.
Fig. 1
Abdominal computed tomography showing fluid retention with gas in the uterus (Arrowheads) and a large amount of stools with metallic density in the colon
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