Document Detail


Pyometra after Le Fort colpocleisis resolved with interventional radiology drainage.
MedLine Citation:
PMID:  19155959     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Le Fort colpocleisis is a surgical treatment option for advanced pelvic organ prolapse in women who are willing to give up future vaginal sexual function. Pelvic abscess, or pyometra, after Le Fort colpocleisis has been reported and is thought to be related to inadequate lateral drainage channels. To date, these cases of postoperative pyometra have been managed using hysterectomy. CASE:: We report a case of pyometra after a Le Fort colpocleisis conservatively managed with interventional radiologically guided abscess drainage and dilation of the lateral drainage tracts. CONCLUSION: Interventional radiology drainage and manual dilation of the lateral drainage tracts can be used as an alternative to hysterectomy in managing Pyometra after a Le Fort colpocleisis.
Authors:
Rana F Shayya; Milena M Weinstein; Emily S Lukacz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  113     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-02-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  566-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Reproductive Medicine, University of California, San Diego, San Diego, California, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Bacterial Agents / therapeutic use
Female
Gynecologic Surgical Procedures / adverse effects*,  methods
Humans
Pyometra / drug therapy,  etiology*,  surgery
Radiography, Interventional
Shock, Septic / drug therapy,  etiology*,  surgery
Suction
Uterine Prolapse / surgery*
Vagina / surgery*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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