Parametritis

Parametritis, (also known as pelvic cellulitis) is an inflammation of the parametrium (connective tissue adjacent to the uterus).

Parametritis
SpecialtyGynecology

It is considered a form of pelvic inflammatory disease.[1] It is a type of a Puerperal infection or postpartum infection, which is an infection that occurs when bacteria infect the uterus and surrounding areas after a woman gives birth. It’s also known as a postpartum infection.

While there are several types of postpartum infection, Parametritis is inflammation of the ligaments around the uterus. As opposed to endometritis or myometritis, which are infections of the uterine lining and uterine muscle, respectively.[2]

Parametritis is different from perimetritis which is inflammation of the serosa surrounding the uterus.

Symptoms

Parametritis has various different signs and symptoms. These symptoms can occur several days after the discharge from hospital after birth, hence it's critical to check for signs of infection even after the discharge. Some of these could include[3]:

  • Fever
  • Headaches
  • Chills
  • An increased heart rate
  • Lack of appetite
  • Experience pain in the lower abdomen
  • Vaginal discharge that is smelly
  • Feeling discomfort of illness

Treatment

Postpartum infections are treated depending on the stage of the infection. Parametritis is usually treated with Parametrite therapy, including oral antibiotics to prevent further spread of the infection. In acute stage, the patient might need to be hospitalized. To reduce inflammation on the site, a cold is placed on the anterior abdominal wall. Anesthetics and antipyretic drugs are used.

References
  1. "Broad Ligament Disorders: eMedicine Obstetrics and Gynecology". Retrieved 2010-03-10.
  2. "Puerperal Infection: Symptoms, Causes, and Treatment". Healthline. Retrieved 2019-09-21.
  3. "Parametritis - symptoms, treatment, diagnosis of parametritis" (in Russian). Retrieved 2019-09-21.
Classification
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