Work

Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report

Year: 2024

Type: article

Abstract: Pyometra is rare and refers to purulent material in the uterine cavity, which can lead to uterine perforation. A hysterectomy is the historic treatment for perforated pyometra due to the condition's high morbidity and mortality. A 33-year-old woman with uterine factor infertility underwent an abdominal myomectomy that was complicated by post-operative, perforated pyometra. She received conservative treatment with surgical debridement and broad-spectrum antibiotics. Following her recovery and subsequent infertility treatments, she had a term live birth through in vitro fertilization. The case highlights the value of uterine-sparing treatment in carefully selected patients with post-operative, perforated pyometra, in order to preserve fertility. • Surgeons should consider perforated pyometra in their differential diagnosis to prevent morbidity and mortality. • Uterine-sparing treatment of post-operative, perforated pyometra requires prompt recognition, surgical source control, and broad-spectrum antibiotics. • In carefully selected, well-counseled patients, conservative therapy for post-operative pyometra can be considered.

Source: Case Reports in Women s Health

DOI: 10.1016/j.crwh.2024.e00660

Authors: Kiley Hunkler, David Boedeker, Yovanni Casablanca, Micah Hill

Institutions: National Institutes of Health, Walter Reed National Military Medical Center, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Levine Cancer Institute

Language: English

Topic: Gynecological conditions and treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $860