Título: Hematometra en paciente postmenopáusica: reporte de caso

Autor(es): CANDO RENDON MAILA MILISENJOSET, LUCERO PASPUEL PAOLA KARINA, ALVAREZ GALARZA SANTIAGO SEBASTIAN , JOHANNA MICHELE SORIA CUPACAN , KATHERIN ANABEL PEÑAFIEL GUERRERO

Fecha de publicación: 01-jan-2024

Resumen: Hematometra is a rare gynecological condition, but with great impact on the qua-lity of life of patients, it is characterized by uterine retention of menstrual blood that was not evacuated through the cervix, due to an obstruction or blockage in the cervical canal. It is a condition that occurs in 6.7% of all women, it can be of congenital cause due to transverse vaginal septum and perforated hymen or acquired, such as cervical neoplasms and previous surgeries of the uterus. He-matometra produces a wide variety of symptoms that affect women’s quality of life; early diagnosis and adequate management are essential to avoid complica-tions. Common symptoms include primary or secondary amenorrhea, constant abdominal and pelvic pain, and abdominal distension. In contrast, in postme-nopausal women, the clinical picture in some is usually asymptomatic. Imaging resources such as transvaginal ultrasound are essential for the diagnosis of hematometra and help estimate its volume and possible etiology. Therapeutic ma-nagement of hematometra depends on the underlying cause and includes: the use of gonadotropin-releasing hormone (GnRH) analogues, cervical dilation to drain accumulated blood or in cases where there is suspicion that the retained fluid is infected and resection of tumors or polyps. Other treatment options are biopsy, which should be postponed for two weeks to reduce the chances of infec-tion or uterine perforation, and more invasive surgeries such as hysterectomy in cases of definitive treatment. Management of pain and associated complications is also essential. Based on the evolution and form of presentation, in this clinical case the hematometra is of postmenopausal origin, the patient has cervical ste-nosis and biopsy curettage cannot be performed, so it was decided to proceed with surgical treatment, performing a total abdominal hysterectomy. to obtain the definitive histopathological result. Patient recovers favorably in the postoperative period and is discharged.

Palabras clave: Key words: hematometra, postmenopausal, hysterectomy, cervix, ultrasound

DOI: https://doi.org/10.53358/lauinvestiga.v10i2.854

ISSN: 1390-910X

Tipo publicación: Artículo