Place stainless steel single ring on 30 years of 1 case of uterine empyema.doc

 PAGE \* MERGEFORMAT 4 Place stainless steel single ring on 30 years of 1 case of uterine empyema [Keywords:] IUD; stainless steel single ring; uterine empyema 1 Case information Patients, 67 years old, G3P3, 17 years of menopause, usually the body healthy. April 10, 2007, for 30 + years of IUD insertion, to nearly 1 month recurrent abdominal pain accompanied by fever from my station for treatment. 30 + years ago, the patient placed in stainless steel single ring, has no special postoperative discomfort, due to living in a remote mountainous village in the county, traffic inconvenience, it is never the line B-Check. Nearly a month there was no obvious incentive abdominal pain, the pain was continuous pain with heavy feeling in lower abdomen, vaginal bleeding and discharge unaccompanied. persistent fever between 38 ℃ ~ 39 ℃, big, normal urine. the local medical station to be “pelvic inflammatory disease,” given infusion 7 days is ineffective, switch to local hospitals for treatment. The B-test results are: (1) IUD echo image; (2) the right ovarian cyst. continued anti-inflammatory treatment for 10 days, body temperature returned to normal, lower abdominal pain relieve . recommended to remove the IUD I stand. B-investigation into the station: uterine contour is unclear, the right uterine fluid of the intramural mass about the size of 8 ~ 9cm. See IUD echo of lower uterine segment. Gynecologic examination: vulva no blood, no discharge, vaginal, cervical atrophy, congestion, within the reach of a pelvic mass about the size of male boxing, quality, the activities of the poor, there is tenderness, bilateral annex touch patient dissatisfaction. initial diagnosis: (1) pelvic inflammatory disease; (2) pelvic mass (not rule out uterine empyema.) made it clear to the family and patient condition, agreed with the intrauterine probe. that routine disinfection of the vulva vagina under shop towels line uterine duct exploration. with cervical clamp cervical c