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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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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