Endometritis

Endometritis 

Updated: 12/16/2020

© Jun Wang, MD, PhD

General features
  • Inflammation of endometrium
  • Pregnancy-related or unrelated to pregnancy
  • Acute and chronic
  • May be associated with salpingitis, oophoritis and peritonitis
Clinical presentations
  • Acute endometritis: symptoms of infection, fever, septic shock, etc
  • Chronic endometritis: usually asymptomatic
Etiology
  • Acute endometritis: bacterial infection, retained tissue or instrumentation
  • Chronic endometritis: Pelvic inflammatory disease, IUD, postpartum, post-abortion (retained tissue), infection, etc
Key pathological findings
  • Acute endometritis: neutrophilic infiltration, microabscess
  • Chronic endometritis: Plasma cells in stroma
Diagnosis
  • Usually based on clinical findings
Treatment
  • Acute endometritis: Antibiotics, removing retained tissue
  • Chronic endometritis: Antibiotics, removing retained tissue, treating underlying causes


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