Pyometra: Atypical cause of pediatric abdominal pain following

Am J Emerg Med · Jul 2022

Case Reports

Pyometra: Atypical cause of pediatric abdominal pain following complicated appendicitis.

This case is significant to the practice of emergency medicine and describes a unique post-operative infection that to my knowledge has not been described in this age group or under this set of circumstances before. Pyometra is a rare disease that is classically seen in an older cohort, and not commonly on the differential for pediatric patients presenting to the ED with vaginal discharge and fever. While post operative complications such as abscesses may be common following a surgery, intrauterine infections in this context are rare and the treatment is unique. It is important for emergency physicians to have knowledge of pyometra to keep on their differential for abdominal pain and fever after surgery, as well as be familiar with its management and which consultants may need to get involved.

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- Eric J Schmieler.
- Military and Emergency Medicine, Uniformed Services University of Health, Naval Medical Center Portsmouth, United States of America. Electronic address: eschmieler@gmail.com.
- Am J Emerg Med. 2022 Jul 1; 57: 235.e1-235.e4.
AbstractThis case is significant to the practice of emergency medicine and describes a unique post-operative infection that to my knowledge has not been described in this age group or under this set of circumstances before. Pyometra is a rare disease that is classically seen in an older cohort, and not commonly on the differential for pediatric patients presenting to the ED with vaginal discharge and fever. While post operative complications such as abscesses may be common following a surgery, intrauterine infections in this context are rare and the treatment is unique. It is important for emergency physicians to have knowledge of pyometra to keep on their differential for abdominal pain and fever after surgery, as well as be familiar with its management and which consultants may need to get involved.Published by Elsevier Inc.

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Pyometra: Atypical cause of pediatric abdominal pain following complicated appendicitis.

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