TY - JOUR
T1 - A case of pyometra treated with endoscopic ultrasound-guided drainage
AU - Ishikawa, Hideki
AU - Morishima, Tomomasa
AU - Seino, Takashi
AU - Otuka, Hiroyuki
AU - Kondo, Hideaki
AU - Itoh, Akihiro
AU - Goto, Hidemi
AU - Hirooka, Yoshiki
PY - 2012/4
Y1 - 2012/4
N2 - A 90-year-old woman was admitted to our hospital because of a high-grade fever and appetite loss. On computed tomography scan, a huge cystic lesion about 10 cm in diameter was observed in the pelvic cavity, attached to the vagina and the neck of uterus. Pyometra was strongly suspected; however, a probe could not be inserted into the opening of the uterus because of atrophic changes. Therefore, we decided to perform endoscopic ultrasound (EUS)-guided drainage of the pyometra using the transrectal route. Foul-smelling yellow-brown pus was aspirated. A guide-wire was inserted and a 7 Fr catheter was inserted into the pyometra through an external fistula. We thus completed the treatment of pyometra without surgical resection.
AB - A 90-year-old woman was admitted to our hospital because of a high-grade fever and appetite loss. On computed tomography scan, a huge cystic lesion about 10 cm in diameter was observed in the pelvic cavity, attached to the vagina and the neck of uterus. Pyometra was strongly suspected; however, a probe could not be inserted into the opening of the uterus because of atrophic changes. Therefore, we decided to perform endoscopic ultrasound (EUS)-guided drainage of the pyometra using the transrectal route. Foul-smelling yellow-brown pus was aspirated. A guide-wire was inserted and a 7 Fr catheter was inserted into the pyometra through an external fistula. We thus completed the treatment of pyometra without surgical resection.
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U2 - 10.1007/s10396-011-0340-9
DO - 10.1007/s10396-011-0340-9
M3 - Article
AN - SCOPUS:84863525148
SN - 1346-4523
VL - 39
SP - 93
EP - 96
JO - Journal of Medical Ultrasonics
JF - Journal of Medical Ultrasonics
IS - 2
ER -