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Obstet Gynecol Sci > Volume 55(6); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(6):429-432.
DOI: https://doi.org/10.5468/KJOG.2012.55.6.429    Published online June 16, 2012.
A case of postmenopausal pyometra caused by endometrial tuberculosis.
Dong Hyun Lee, Dong Hyu Cho, Jeong Heon Lee, Young Ran Kim
1Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, Jeonju, Korea. obgyn2001@hanmail.net
2Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Mycobacterium infection manifesting pyometra in postmenopausal women is a extremely rare disease that hardly responds to the usual treatment of pus drainage and antibiotics therapy. We present a case of a postmenopausal woman with pyometra caused by endometrial tuberculosis. Almost all of the pus could be drained through the stenotic cervical canal, with difficultly. The result of Pipelle endometrial biopsy was negative. However, her symptoms continued and fluid gradually re-accumulated in the uterine cavity, despite successful pus drainage and sufficient antibiotics use. Therefore, the endometrial tissue was obtained by fractional curettage after cervical dilatation to identify the accurate cause of pyometra. A pathologic examination and polymerase chain reaction confirmed the diagnosis of endometrial tuberculosis. After completion of antituberculous medication, she was doing well without further development of pyometra. In a case of postmenopausal pyometra, endometrial sampling should be performed to rule out endometrial tuberculosis.
Key Words: Postmenopausal, Pyometra, Endometrial tuberculosis

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