Abstract
[Case 1] An 86-year-old woman presented to our hospital after referral from her home doctor for low blood pressure and fever. The patient had complained of general fatigue that lasted for three days. Computed tomography (CT) revealed a mass with a diameter of approximately 9 cm in her uterus. Following transvaginal echocardiography, drainage was performed and approximately 300 ml of pus was collected.
[Case 2] A 74-year-old woman was rushed to our hospital due to difficulty of moving following a week of decreased food intake. We performed blood investigations which revealed an increased inflammatory response while CT scan revealed a small amount of fluid in the uterus. The patient underwent transvaginal echocardiogram and drainage which resulted in approximately 10 ml of pus collection.
Pyometra among elderly women may present with a wide-range of symptoms from clinically mild loss of appetite and high fever to septic shock. Despite being an uncommon condition, we encountered two cases of pyometra in one day. Nonetheless, this disease is expected to increase in the future due to the aging population of Japan, which calls for disease familiarity among practitioners, not only among gynecologists but also general internists.
