Endometritis

The Endometritis is an inflammation of the uterine lining (endometrium). It is a form of Metropathien.

Causes

This inflammation occurs outside the puerperium (see below) only rarely. The pathogens are usually deported to from the vagina or aszendierte ( Ascended ) bacteria. Rarely it comes to blood-borne infection of the uterus. Inflammation in the area of the cervix ( cervicitis ), the vagina (vaginitis, vaginitis ), tumors as well as an intrauterine favor endometritis. A cross-contamination can happen among other things in diagnostic or therapeutic procedures ( iatrogenic). In the puerperal endometritis it comes to germs from the vagina during birth. The puerpurale endometritis can base a puerperal sepsis (see childbed fever). In combination of endometritis with inflammation of the muscle wall of the uterus ( Myometritis ) then one speaks of a uterine infection ( metritis )

Typical agent of endometritis are staphylococci, streptococci, Escherichia coli, and (via a hematogenous spread ) also tuberculosis pathogen.

Specific forms

• Gonorrhoica endometritis: inflammation of a gonorrhea
• Puerperal endometritis: inflammation in puerperal ( childbed fever )
• Senilis endometritis: inflammation in atrophic age mucosa.
• Tuberculous endometritis: tuberculous inflammation
• Endometritis post abortum: inflammation due to a fruit leaving ( abortion)

Clinic

In general, patients who initially localized tenderness of the uterus ( fundus - emphasized ) in combination with bleeding and fever. With the spread of the inflammation to the adnexa are usually severe pain and high fever. Laboratory tests fall above the elevated inflammatory markers on (CRP, leukocytes, and others).

Therapy

In general, the inflammation is hospitalized with broad spectrum antibiotics. Spasms and pain can be treated with butyl scopolamine and anti-inflammatory drugs. If it comes to accumulation of pus in the uterine cavity ( pyometra ), it must be, for example, with a Fehling's tubes, drained them. After the acute phase of inflammation, the exclusion of a tumor in the region of the uterus is necessary. This is usually done by means of a scraping ( curettage of the uterus ) and pathological diagnosis.

Complications

• Seed ascent in the fallopian tube and adnexa with development of pelvic inflammatory disease
• Spread of the pathogen in the abdominal cavity with peritonitis arising therefrom
• Abscess formation ( eg, tubo-ovarian abscess )
• Sepsis