Endometritis is inflammation of the inner lining of the uterus (endometrium). 30% of Females with Cesarean delivery suffers from it. It is not to be confused with Endometriosis (Development of Endometrial lining other than Uterus). The types their clinical scenario and management is given in this PowerPoint.

1. Endometritis
30% of Females with Cesarean delivery suffers from it
The
Clinical
Scenario
Presented by:
Muhammad Anas
Presented to:
Mam Tabiba Nadia Naseem
﷽

2. Not to be confused with
Endometriosis
(Endometrium other than Uterus)

3. The Types
Most common in all types
Acute Endometritis01
Rare. Occurs due to local abnormality
Chronic Endometritis02
Occurs after menopause
Atrophic Endometritis03
May remain asymptomatic in nearly 10 % of cases
Tuberculous Endometritis04

4. Acute Endometritis
Causes
• Puerperal infection
• Postabortal Infection
• D & C
04
Pathology
• Same as in other part of body
• Myometrium involve in severe case
• Microscopically, Necrotic tissue and
leukocytes present
05
Bacteriology
Streptococcus, Staphylococcus,
Gonococcus, clostridia, Pseudomonas
06
Clinical Presentation (Symptoms)
Fever, Pain LA, Purulent Vaginal
Discharge, sometimes menorrhagia
01
Clinical Presentation (Sings)
Inc. Temp. , Inc. Pulse rate, tenderness
of hypogastrium
02
Clinical Presentation (Hx)
Recent delivery after prolong labour or
abortion by careless paramedic
03

5. Chronic Endometritis
• Rare in between menarche and menopause
• Seen only in case where local abnormality is present
Menorrhagia, Pain LA, Backache, Purulent vaginal discharge
If uterine adhesion present leads to amenorrhea
Clinical Presentation
• RPOC
• IUCD
• Associated PID
• Endometrial polyp and carcinoma
Causes
Plasma cells and lymphocytes present
Pathology

6. • Reduce Resistance
• Acidity and cervical mucous plug loss
• Not regular shedding of endometrium
• Associated with atrophic vaginitis
Causes
• Vaginal discharge (Purulent, Blood, Absent)
• Pain (only in pyometria)
• Atrophic vaginitis
• Uterus size (Small or large)
Clinical Features
• Acute inflammatory reaction
• Plymorphoneuclear cells, plasma cells, lymphocytes
present
Pathology
Atrophic Endometritis

7. Tuberculous Endometritis
• Rare
• May remain asymptomatic in nearly
10 % of cases
• Acquire from the fallopian tube
• During menstruation, endometrium
shed with tuberculous lesions
• In prolong cases, caseous
pyometra and myometria seen

8. Treatment
Bed Rest and Good Nourishment
Analgesics, Anti Inflammatory and
Antibiotics
( ‫مکو‬‫ہ‬،‫مرزنجوش‬ ،‫برنجاسف‬ ،‫کاسنی‬ ،
‫اسگند‬‫ھ‬‫رسوت‬ ، )
D & C (if pyometria)
In case of Tubercoulous
Rifampicin, Isoniazid, Ethambutol, Pyrazinamide, Streptomycin,
Thiacetomide should given.

9. Thank You
For Your Attention !!