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Part of the book series: Spezielle pathologische Anatomie ((3122,volume 20 / 3))

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Zusammenfassung

Sensu strictu ist zur Diagnose einer infektiösen Endometritis der Nachweis des infektiösen Agens und der geweblichen (entzündlichen) Normabweichungen erforderlich (Buckley u. Fox 1989). In der Praxis besteht jedoch die Tendenz, den morphologischen Nachweis einer Endometritis für den Beweis eines infektiösen Prozesses zu nehmen. Dafür verantwortlich ist u.a. die unbefriedigende Trefferrate der mikrobiologischen Analytik. Wenig aussagekräftig sind aber auch die klinischen „Umgebungsuntersuchungen“: Simultane „Leitinfektionen“ des unteren Genitales (Portio, Scheide, Vulva) liegen nur bei etwa 15% der Frauen mit Endometritis vor, eigentliche Leitsymptome fehlen.

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Literatur

  • Abraham A.A. (1978) Herpesvirus hominis endometritis in a young woman wearing an intrauterine contraceptive device. Am J Obstet Gynecol 131: 340–342

    PubMed  CAS  Google Scholar 

  • Asherman J.G. (1948) Amenorroea traumatica (atretica). J Obstet Gynaecol Brit Emp 55: 23–30

    Article  CAS  Google Scholar 

  • Bazaz Malik G., Maheshwari B., Lai N. (1983) Tuberculous endometritis: a clinicopathological study of 1000 cases. Br J Obstet Gynaecol 90: 84–86

    Article  PubMed  CAS  Google Scholar 

  • Becker V., Röckelein G. (1989) Pathologie der weiblichen Genitalorgane I: Pathologie der Plazenta und des Abortes. Springer, Berlin Heidelberg New York Tokyo (Spezielle pathologische Anatomie, Bd XX/I)

    Book  Google Scholar 

  • Bessim S., Heller D.S., Dottino P., Deligdisch L., Gordon R.E. (1991) Malakoplakia of the female genital tract causing urethral and ureteral obstruction. A case report. J Reprod Med 36: 691–694

    PubMed  CAS  Google Scholar 

  • Brodman M., Deligdisch L. (1986) Cytomegalovirus endometritis in a patient with AIDS. Mt Sinai J Med 53: 673–675

    PubMed  CAS  Google Scholar 

  • Brudenell J.A. (1955) Chronic endometritis and plasma cell infiltration of the endometrium. J Obstet Gynaecol Brit Emp 62: 269–274

    Article  CAS  Google Scholar 

  • Buckley C.H., Fox H. (1980) Histiocytic endometritis. Histopathology 4: 105–110

    Article  PubMed  CAS  Google Scholar 

  • Buckley C.H., Fox H. (1989) Biopsy pathology of the endometrium. Raven, NewYork

    Google Scholar 

  • Burkman R., Schiesseiman S., McCaffrey L., Gupta P.K., Spence M. (1982) The relationship of genital tract actinomycetes and the development of pelvic inflammatory disease. Am J Obstet Gynecol 143: 585–589

    PubMed  CAS  Google Scholar 

  • Cadena D., Cavanzo F.J., Leone C.L., Taylor H.B. (1973) Chronic endometritis. A comparative clinicopathologic study. Obstet Gynecol 41: 733–738

    PubMed  CAS  Google Scholar 

  • Chalvardjian A. (1978) Sarcoidosis of the female genital tract. Am J Obstet Gynecol 132: 78–80

    PubMed  CAS  Google Scholar 

  • Crum C.P., Egawa K., Fenoglio C.M., Richart R.M. (1983) Chronic endometritis: the role of immunohistochemistry in the detection of plasma cells. Am J Obstet Gynecol 147: 812–815

    PubMed  CAS  Google Scholar 

  • Dardi L.E., Ariano L., Ariano M.C., Gould V.E. (1982) Arias-Stella reaction with prominent nuclear pseudoinclusions simulating herpetic endometritis. Diagn Gynecol Obstet 4: 127–132

    PubMed  CAS  Google Scholar 

  • De la Monte S.M., Gupta P.K., White C.L. (1982) Systemic Actinomyces infection. A potential complication of intrauterine contraceptive devices. JAMA 248: 1876–1877

    Google Scholar 

  • Dehner L.P., Askin F.B. (1975) Cytomegalovirus endometritis: report of a case associated with spontaneous abortion. Obstet Gynecol 45: 211–214

    PubMed  CAS  Google Scholar 

  • Farber E.R., Leahy M.S., Meadows T.R. (1968) Endometrial blastomycosis acquired by sexual contact. Obstet Gynecol 32: 195–199

    PubMed  CAS  Google Scholar 

  • Farooki M.A. (1967) Epidemiology and pathology of chronic endometritis. Int Surg 48: 566–573

    PubMed  CAS  Google Scholar 

  • Garcia C.R., Toro Rojas M., Morales Jimenez C., Lopez Beltran A., Nogales Ortiz F., Nogales Fernandez F. (1991) Uterine mullerian adenosarcoma with histiocytic (xanthomatous) mesenchymal component. Histol Histopathol 6: 363–367

    PubMed  CAS  Google Scholar 

  • Gibbs R.S., Blanco J.D., St Clair P.J., Castaneda Y.S. (1983) Mycoplasma hominis and intrauterine infection in late pregnancy. Sex Transm Dis 10: 303–306

    PubMed  CAS  Google Scholar 

  • Goldman R.L. (1970) Herpetic inclusions in the endometrium. Obstet Gynecol 36: 603–605

    PubMed  CAS  Google Scholar 

  • Gump D.W., Dickstein S., Gibson M. (1981) Endometritis related to Chlamydia trachomatis infection. Ann Intern Med 95: 61–63

    PubMed  CAS  Google Scholar 

  • Hart W.R., Prins R.P., Tsai J.C. (1976) Isolated coccidioidomycosis of the uterus. Hum Pathol 7:235–239

    Article  PubMed  CAS  Google Scholar 

  • Hendrickson M.R., Kempson R.L. (1980) Surgical pathology of the uterine corpus. Saunders, Philadelphia

    Google Scholar 

  • Ho K.L. (1979) Sarcoidosis of the uterus. Hum Pathol 10: 219–222

    Article  PubMed  CAS  Google Scholar 

  • Horne H.W., Hertig A.T., Kundsin R.B. (1973) Subclinical endometrial inflammation and T-mycoplasma: a possible cause of human reproductive failure. Int J Fertil 18: 226–231

    PubMed  CAS  Google Scholar 

  • Horton L., Wilkes J. (1976) Letter: Chronic non-specific endometritis. Lancet 2: 366

    Article  PubMed  CAS  Google Scholar 

  • Hutchins C.I. (1977) Tuberculosis of the female genital tract-achanging picture. Br J Obstet Gynaecol 84: 534–538

    Article  PubMed  CAS  Google Scholar 

  • Ingerslev H.J., Moller B.R., Mardh P.A. (1982) Chlamydia trachomatis in acute and chronic endometritis. Scand J Infect Dis Suppl 32: 59–63

    CAS  Google Scholar 

  • Lebreuil G., Erny R., Sudan N., Hassoun J. (1973) Endometritis due to cytomegalovirus. Arch Anat Pathol Paris 21: 155–160

    PubMed  CAS  Google Scholar 

  • Lomax C.W., Harbert G.M. Jr, Thornton W.N.I. (1976) Actinomycosis of the fern ale genital tract. Obstet Gynecol 48: 341–346

    PubMed  CAS  Google Scholar 

  • McCracken A.W., D’Agostino A.N., Brucks A.B., Kingsley W.B. (1974) Acquired cytomegalovirus infection presenting as viral endometritis. Am I Clin Pathol 61: 556–560

    CAS  Google Scholar 

  • Mendling W. (1995) Vaginose, Vaginitis und Zervizitis. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Moller B.R. (1983) The role of mycoplasmas in the upper genital tract of women. Sex Transm Dis 10: 281–284

    PubMed  CAS  Google Scholar 

  • Molnar J.J., Poliak A. (1983) Recurrent endometrial malakoplakia. Am J Clin Pathol 80: 762–764

    PubMed  CAS  Google Scholar 

  • Morse S.A., Moreland A.A., Thompson S.E. (1990) Sexually transmitted diseases. Lippincott, Philadelphia

    Google Scholar 

  • Nikonov A.P., Gurtovoi B.L., Zheleznov B.I., Ezhova L.S., Lutfullaeva N.A. (1992) Clinical-morphological paralleis in postparturn endometritis. Akush Ginekol Mosk: 38–43

    Google Scholar 

  • Nogales Ortiz F., Taraneon I., Nogales F.F.J. (1979) The pathology of female genital tuberculosis. A 31-year study of 1436 cases. Obstet Gynecol 53: 422–428

    PubMed  CAS  Google Scholar 

  • Paavonen J., Kiviat N., Brunham R.C. et al. (1985) Prevalence and manifestations of endometritis among women with cervicitis. Am J Obstet Gynecol 152: 280–286

    PubMed  CAS  Google Scholar 

  • Paavonen J., Miettinen A., Stevens C.E., Kiviat N., Kuo C.C., Stamm W.E., Holmes K.K. (1983) Mycoplasma hominis in cervicitis and endometritis. Sex Transm Dis 10: 276–280

    PubMed  CAS  Google Scholar 

  • Petersen E.E. (1988) Infektionen in Gynäkologie und Geburthilfe. Thieme, Stuttgart

    Google Scholar 

  • Philippe E., Charpin C. (1992) Pathologie gynecologique et obstetricale. Masson, Paris

    Google Scholar 

  • Plaut A. (1950) Human infection with Cryptococcus glabratus. Report of case involving uterus and fallopian tube. Am J Clin Pathol 20: 377–380

    PubMed  CAS  Google Scholar 

  • Rippon J.W. (1988) Medical mycology. The pathogenetic fungi and the pathogenetic actinomycetes. Saunders, Philadelphia

    Google Scholar 

  • Rodriguez M., Okagaki T., Richart R.M. (1972) Mycotic endometritis due to Candida. A case report. Obstet Gynecol 39: 292–294

    PubMed  CAS  Google Scholar 

  • Rotterdam H. (1978) Chronic endometritis. A clinicopathologic study. Pathol Annu 13 Pt 2: 209–231

    Google Scholar 

  • Saw E.C., Shields S.J., Corner T.P., Huntington R.W.J. (1974) Granulomatous peritonitis due to Coccidioides immitis. Arch Surg 108: 369–371

    Article  PubMed  CAS  Google Scholar 

  • Saw E.C., Smale L.E., Einstein H., Huntington R.W.J. (1975) Female genital coccidioidomycosis. Obstet Gynecol 45: 199–202

    PubMed  CAS  Google Scholar 

  • Schaefer G. (1970) Tuberculosis of the fern ale genital tract. Clin Obstet Gynecol 13: 965–998

    Article  PubMed  CAS  Google Scholar 

  • Schaefer G., Marcus R.S., Kramer E.E. (1972) Postmenopausal endometrial tuberculosis. Am J Obstet Gynecol 112: 681–687

    PubMed  CAS  Google Scholar 

  • Schiffer M.A., Elguezabal A., Sultana M., Allen A.C. (1975) Actinomycosis infections associated with intrauterine contraceptive devices. Obstet Gynecol 45: 67–72

    PubMed  CAS  Google Scholar 

  • Schmidt W.A., Bedrossian C.W., Ali V., Webb J.A., Bastian F.O. (1980) Actinomyces and intrauterine contraceptive devices: the clinicopathologic study. Diagn Gynecol Obstet 2: 165–177

    PubMed  CAS  Google Scholar 

  • Schneider V., Behm F.G., Mumaw V.R. (1982) Ascending herpetic endometritis. Obstet Gynecol 59:259–262

    PubMed  CAS  Google Scholar 

  • Sinzger C., Müntefering H., Löning T.H., Stoss H., Plachter B., Jahn G. (1993) Cell types infected in human cytomegalovirus placentitis identified by immunohistochemical double staining. Virchows Arch A Pathol Anat Histopathol 423: 249–256

    Article  PubMed  CAS  Google Scholar 

  • Stern R.A., Svoboda Newman S.M., Frank T.S. (1996) Analysis of chronic endometritis for Chlamydia trachomatis by polymerase chain reaction. Hum Pathol 27: 1085–1088

    Article  PubMed  CAS  Google Scholar 

  • Terris J., Musset R. (1969) Research on toxoplasmosis with 1858 pregnant women. Gynecol Obstet Paris 68: 25–34

    PubMed  CAS  Google Scholar 

  • Thomas W. Jr, Sadeghieh B., Fresco R., Rubenstone A.I., Stepto R.C., Carasso B. (1978) Malacoplakia of the endometrium, a probable cause of postmenopausal bleeding. Am J Clin Pathol 69: 637–641

    PubMed  Google Scholar 

  • Vasudeva K., Thrasher T.V., Richart R.M. (1972) Chronic endometritis: a clinical and electron microscopic study. Am J Obstet Gynecol 112: 749–758

    PubMed  CAS  Google Scholar 

  • Vogel M. (1996) Atlas der morphologischen Plazentadiagnostik. Springer, Berlin Heidelberg NewYork Tokyo

    Book  Google Scholar 

  • Weller T.H. (1971a) The cytomegaloviruses: ubiquitous agents with protean clinical manifestations, I. N Engl J Med 285: 203–214

    Article  PubMed  CAS  Google Scholar 

  • Weller T`H. (1971b) The cytomegaloviruses: ubiquitous agents with protean clinical manifestations, II. N Engl J Med 285: 267–274

    Article  PubMed  CAS  Google Scholar 

  • Wenckebach G.F., Curry B. (1976) Cytomegalovirus infection of the female genital tract. Histologic findings in three cases and review of the literature. Arch Pathol Lab Med 100: 609–612

    PubMed  CAS  Google Scholar 

  • Westrom L., Svensson L., Wolner Hansen P., Mardh P.A. (1982) Chlamydial and gonococcal infections in a defined population of women. Scand J Infect Dis Suppl 32: 157–162

    CAS  Google Scholar 

  • Witwer M.W., Farmer M.F., Wand J.S., Solomon L.S. (1977) Extensive actinomycosis associated with an intrauterine contraceptive device. Am J Obstet Gynecol 128: 913–914

    PubMed  CAS  Google Scholar 

  • Wolner Hanssen P., Mardh P.A., Moller B., Westrom L. (1982a) Endometrial infection in women with Chlamydial salpingitis. Sex Transm Dis 9: 84–88

    Article  PubMed  CAS  Google Scholar 

  • Wolner Hanssen P., Svensson L., Westrom L., Mardh P.A. (1982b) Isolation of Chlamydia trachomatis from the liver capsule in Fitz-Hugh-Curtis syndrome. N Engl J Med 306: 113

    PubMed  CAS  Google Scholar 

  • Wolner Hanssen P., Westrom L., Mardh P.A. (1982c) Chlamydial perihepatitis. Scand J Infect Dis Suppl 32:77–82

    CAS  Google Scholar 

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Löning, T. (2001). Endometritis. In: Pathologie der weiblichen Genitalorgane III. Spezielle pathologische Anatomie, vol 20 / 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56781-0_20

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  • DOI: https://doi.org/10.1007/978-3-642-56781-0_20

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