Ultrasound-guided introital drainage of pyometrocolpos

Document Type

Journal Article

Publication Date

6-1-2018

Journal

Journal of Pediatric Surgery Case Reports

Volume

33

DOI

10.1016/j.epsc.2017.10.006

Keywords

Interventional radiology; Introital drainage; Pyometrocolopos; Ultrasound guided

Abstract

© 2017 Pyometrocolpos can be caused by congenital malformations such as distal vaginal atresia and imperforate hymen. Patients usually present with obstructive urinary tract infections, acute kidney injury, or sepsis. Percutaneous drainage of the infected fluid can help treat the patient; however, recurrence is of concern. In this case report, we present a case of a child with recurrent pyometrocolpos due to distal vaginal atresia despite initial percutaneous drainage. To our knowledge, this is the first report of ultrasound-guided introital drainage of pyometrocolpos with relief of symptoms obviating the need for repeat drainage or immediate surgery.

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