Zum Problem der Endometritis - differentialdiagnostische Erwägungen unter besonderer Berücksichtigung histologischer und mikrobiologischer Befunde

K. Meinen, Meinen K, Breinl H, H Breinl, Wimmenauer K, K. Wimmenauer, Lange R, R Lange, E W Schmidt, Schmidt EW, E Schmidt
Geburtshilfe und Frauenheilkunde · 1981 · vol. 41(05) , pp. 343–346 · doi:10.1055/s-2008-1036806 · PMID:6909092 · W1982487442
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In 100 patients with suspected endometritis, histological and microbiological examinations revealed adenomyosis as a dominant alternative diagnosis, highlighting the need for precise diagnostic methods before initiating antibiotic therapy.

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This study evaluated 100 patients initially suspected of having endometritis using a diagnostic protocol that incorporated both histological and microbiological analyses. The results indicated that the presumptive diagnosis was confirmed by histology in only 37% of cases and by microbiological testing in just 3%. Consequently, other conditions such as peritoneal irritation during ovulation, adenomyosis uteri, and spastic pelviopathias were found to be more prevalent among these patients. The authors conclude that endometritis is frequently an erroneous or provisional diagnosis that warrants careful examination before initiating antibiotic treatment. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

In 100 patients with the assumed diagnosis "endometritis" an examination program including histological and microbiological methods was conducted. In only 73% of these, the histological examination confirmed the assumed diagnosis, and only in 3% concerning the microbiological tests; therefore other diagnoses such as peritoneal irritation at ovulation, adenomyosis uteri and spastic pelviopathias were dominant. The diagnosis of an endometritis therefore is often an exclusive one and should induce subtle examination methods before an unspecific antibiotic therapy is begun. This procedure is absolutely possible regarding out-patients.
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Subscribe to RSS DOI: 10.1055/s-2008-1036806 © 1981 Georg Thieme Verlag Stuttgart · New York Zum Problem der Endometritis - differentialdiagnostische Erwägungen unter besonderer Berücksichtigung histologischer und mikrobiologischer Befunde Endometritis - a Diagnostic Problem Differentialdiagnostical Considerations Including Histological and Microbiological Methods * Die Arbeit beinhaltet Ergebnisse aus der Dissertation von Herrn K. WimmenauerPublication History Publication Date: 19 March 2008 (online) Zusammenfassung Bei 100 Patientinnen mit der Verdachtsdiagnose »Endometritis« wurde ein diagnostisches Schema einschließlich histologischer und mikrobiologischer Methoden durchgeführt. Lediglich in 37% bestätigte das histologische und in 3% das mikrobiologische Ergebnis die Verdachtsdiagnose. Andere Krankheitsbilder wie Peritonealreiz bei Follikelsprung, Adenomyosis uteri und Pelveopathia spastica standen quantitativ im Vordergrund. Die Diagnose Endometritis ist daher oft eine Verlegenheitsdiagnose und sollte Veranlassung zur subtilen Diagnostik sein, ehe ungezielt eine Antibiotikatherapie eingeleitet wird; dabei ist dieses Vorgehen durchaus auch ambulant möglich. Abstract In 100 patients with the assumpted diagnosis »endometritis« an examination program including histological and microbiological methods was conducted. In only 37% of these, the histological examination confirmed the assumpted diagnosis, and only in 3% concerning the microbiological test; therefore other diagnoses such as peritoneal irritation at ovulation, adenomyosis uteri and spastic pelviopathias were dominant. The diagnosis of an endometritis therefore is often an elusive one and should induce subtile examination methods before an unspecific antibiotic therapy is begun. This procedure is absolutely possible regarding out-patients.

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Condition tags

mesh:D004716endometriosisadenomyosis

MeSH descriptors

Endometritis Adolescent Adult Ambulatory Care Biopsy Diagnosis, Differential Endometriosis Endometriosis Endometritis Endometritis Female Humans Middle Aged Ovarian Follicle Uterine Neoplasms Uterine Neoplasms

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