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Obstetrics & Gynecology 1973;41:733-738
© 1973 by The American College of Obstetricians and Gynecologists
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Chronic Endometritis

A Comparative Clinicopathologic Study

DARIO CADENA, MD, FRANCISCO J. CAVANZO, MD, CHERYL L. LEONE, MD and HERBERT B. TAYLOR, MD

From the Departments of Pathology, San Jose Hospital, Bogotá, Colombia and St. Louis University Medical Center, St. Louis, Missouri

Abstract

One hundred fifty-two examples of chronic endometritis were reviewed to demonstrate the clinical significance in two population groups— one from this country, the other, Colombia, South America. The histologic diagnosis was based solely upon the presence of plasma cells in the endometrial stroma. No correlation was found between the number of plasma cells and the severity of symptomatology. The most common symptoms were menstrual disturbances, present in virtually every patient, and pelvic pain or tenderness, found in 50% of the women. Chronic endometritis could be attributed to a specific etiologic factor in 84% of the patients: pelvic inflammatory disease in 25%, intrauterine contraceptive devices in 14%, postpartum factors in 12% and postabortal factors in 41%. These findings indicate that chronic endometritis is a real clinicopathologic entity with a demonstrable cause in most instances. It should be considered in the differential diagnosis of all women with irregular menses and pelvic pain.






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Copyright © 1973 by the American College of Obstetricians and Gynecologists.