Percutaneous transabdominal drainage for pyometra: A case report

Abstract

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.

Keywords

• Pyometra
• Percutaneous drainage
• Transabdominal approach
• CT-guided drainage