J Korean Soc Menopause.  2012 Aug;18(2):119-123.

The Clinical Manifestation of the Gynecologic Emergency in Postmenopausal Women

• Lee SH
• Kim TH
• Lee HH
• Lee WS
• Chung SH

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.

Keyword

Emergency; Menopausal women; Menopause

MeSH Terms

Abdominal Pain
Atrophic Vaginitis
Emergencies
Endometrium
Female
Granulosa Cells
Hemorrhage
Humans
Incidence
Inflammation
Medical Records
Menopause
Ovarian Cysts
Parovarian Cyst
Pyometra
Retrospective Studies
Teratoma
Uterine Hemorrhage
Uterine Prolapse