Percutaneous transabdominal drainage for pyometra: A case report

The treatment options for pyometra include antibiotic administration, cervical dilation with drainage, and surgical intervention. Surgical management options include laparotomy with lavage and/or total hysterectomy. However, reports on the percutaneous drainage of pyometra are rare. We present a cas...

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Main Authors: Megu Ohno, MD, Katsuyuki Yamada, MD, PhD, Atsushi Jogo, MD, PhD, Taiki Yamaguchi, MD, Yuichiro Tomita, MD, Akira Hagiwara, MD, PhD, Erina Kido, MD, Kyoka Amemiya, MD, PhD, Yukio Miki, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325001980
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Summary:The treatment options for pyometra include antibiotic administration, cervical dilation with drainage, and surgical intervention. Surgical management options include laparotomy with lavage and/or total hysterectomy. However, reports on the percutaneous drainage of pyometra are rare. We present a case report and discussion of pyometra in a woman in her 70s with pyometra caused by cervical invasion of rectal cancer and fibrosis following radiation therapy. Antibiotic treatment was ineffective, and computed tomography (CT)-guided transabdominal uterine drainage was performed. After drainage, the abscess reduced in size, and no recurrence was observed during the subsequent 12 months. Percutaneous drainage should be considered as a treatment option in cases where antibiotics are ineffective, and transvaginal drainage is not feasible.
ISSN:1930-0433