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Lee, Kim, Lee, Lee, and Chung: The Clinical Manifestation of the Gynecologic Emergency in Postmenopausal Women
Original Article
The Journal of Korean Society of Menopause

The Journal of Korean Society of Menopause 2012; 18(2): 119-123.

Published online: 29 August 2012

DOI: https://doi.org/10.6118/jksm.2012.18.2.119

The Clinical Manifestation of the Gynecologic Emergency in Postmenopausal Women

Seung-Hee Lee, R.N., Tae-Hee Kim, M.D., Ph.D., Hae-Hyeog Lee, M.D., Ph.D., Woo Seok Lee, M.D., Ph.D., Soo-Ho Chung, M.D.

Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Address for Correspondence: Tae-Hee Kim, Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University Bucheon Hospital, 1174 Jung-dong, Wonmi-gu, Bucheon 420-767, Korea. Tel: +82-32-621-6381, Fax: +82-2-6008-6874, heeobgy@schmc.ac.kr

Received 24 March 2012       Revised 21 April 2012       Accepted 4 July 2012

Copyright © 2012 by The Korean Society of Menopause

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Abstract

Objectives

The objective of this study was to assess the clinical characteristics of postmenopausal women who were admitted to the emergency room.

Methods

This study was conducted at a university hospital. The retrospective study of medical records comprised 26 patients who were admitted to the emergency room, between September 2010 and August 2011.

Results

The age of the twenty-six patients was 51-90 years. Abdominal pain and vaginal bleeding were the main complaints. The final diagnoses were 6 cases of postmenopausal atrophic vaginitis, 6 cases of ovarian cyst, 5 cases of pelvic inflammation disease, 3 cases of post-conization bleeding, 1 case of menopausal symptoms, 1 case of atrophic endometrium, 1 case of uterine prolapse, 1 case of pyometra, and acute pyeolonephritis with stone. Among the 6 cases of ovarian cyst, 5 cases performed an operation. Pathologic findings revealed 2 cases of simple cyst, 1 case of paratubal cyst, 1 case of teratoma, and 1 case of granulosa cell tumor.

Conclusion

The incidence of post-menopausal distress in women is increasing, and the numbers of post-menopausal women being admitted to the emergency room are also increasing, so attention needs to be paid to the case of postmenopausal women in the future.

Keywords: Emergency, Menopausal women, Menopause

Figures and Tables

Table 1
Basal characteristics of subjects (n = 26)
jksm-18-119-i001
Table 2
Symptom and diagnosis
jksm-18-119-i002

PID: pelvic inflammatory disease, APN: acute pyelonephritis

Table 3
Preoperative diagnosis, treament and histologic findings of ovarian cyst
jksm-18-119-i003

RSO: right salpingo-oophorectomy, BSO: bilateral salpingo-oophorectomy, LSO: left salpingo-oophorectomy, TAH: total abdominal hysterectomy

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