MISK is absolutely correct.
Endometritis is inflammation of the endometrial lining of the uterus. In addition to the endometrium, inflammation may involve the myometrium and, occasionally, the parametrium. These are the different layers of the uterus. It can also involve inflammation of the fallopian tubes (salpingitis), ovaries (oophoritis), and pelvic peritoneum (pelvic peritonitis). This inflammation can be due to several causes, one thought to be microabscesses within the uterine lining.
A common name for endometritis, which patients may have heard of, is pelvic inflammatory disease (PID). The most common organisms, causing the infectious etiology this disorder, are Chlamydia trachomatis (chlamydia), Neisseria gonorrhoeae (gonorrhea), Streptococcus agalactiae (Group B Streptococcus), Mycoplasma hominis, tuberculosis, and various viruses.
The diagnosis of endometritis is usually based on clinical findings, such as fever and lower abdominal/pelvic pain. For most cases of endometritis following vaginal delivery, oral antibiotics in an outpatient setting may be adequate. For chronic cases, with established inflammation, or those after abortion, c-section, medical instrumentation of the uterus, or those that do not respond to oral antibiotics, a course of IV antibiotics may be required.
This may be another reason to see a gynecologist rather than, or addition to, a general surgeon. Though, to patients, it's a technicality, general surgeons operate in the abdomen and gynecologists operate in the pelvis. They are actually two different compartments. The two specialties do learn about the other in residency, but they usually defer to each other is cases outside of their specialty.
I hope your wife is feeling better. And they find out what is going on. It can be quiet frustrating. Abdominal pain is one of the worst pains, as you just canât seem to get away from it.
I know how it is out in the great expanses of Texas, as having spent several rotations between Ft. Bliss in El Paso and Ft. Sam in San Antonio. There isn't much between towns, and it's a long way between towns that are there. I can remember trying to explain to Europeans how vast Texas is, as most of Western Europe would fit inside of it.
Again, hope your wife feels better soon and you find out what is going on. If possible, it would be great if you could tell us what they finally find. It would help others, as they try to find information, concerning their problems.
Have as good a weekend as possible.