Chapter 114 Hematometra
INTRODUCTION
Description: Hematometra is a collection of blood in the body (cavity) of the uterus resulting from obstruction of the normal outflow tract. This obstruction may result from congenital abnormalities, acquired cervical stenosis, or obstruction by neoplasia.
ETIOLOGY AND PATHOGENESIS
Causes: Obstruction or atresia of the uterine outflow tract (congenital malformation; most common are imperforate hymen and transverse vaginal septum, acquired causes; cervical stenosis from senile atrophy of the endocervix and endometrium, scarring by synechiae, scarring after surgery, endometrial ablation, radiation, cryocautery, electrocautery, neoplasia).
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