Percutaneous transabdominal drainage for pyometra: A case report
Megu Ohno1, Katsuyuki Yamada1, Atsushi Jogo1
1Department of Diagnostic Radiology, Itami City Hospital, 1-100 Koyaike, Itami-shi, Hyogo 664-8540, Japan.
Radiology Case Reports
|April 3, 2025
Summary
This case report highlights percutaneous drainage for pyometra (uterine infection) when antibiotics fail. Computed tomography-guided drainage successfully treated a complex case, showing no recurrence for 12 months.
Area of Science:
- Gynecology
- Interventional Radiology
- Oncology
Background:
- Pyometra, a serious uterine infection, typically requires antibiotics, cervical dilation, or surgery.
- Surgical options include laparotomy with lavage or hysterectomy.
- Percutaneous drainage for pyometra is infrequently reported.
Observation:
- A woman in her 70s presented with pyometra.
- The condition was attributed to cervical rectal cancer invasion and post-radiation fibrosis.
- Initial antibiotic therapy proved ineffective.
Findings:
- Computed tomography (CT)-guided transabdominal uterine drainage was successfully performed.
- The uterine abscess significantly reduced in size post-procedure.
- No recurrence of pyometra was observed during a 12-month follow-up period.
Implications:
- Percutaneous drainage offers a viable treatment alternative for pyometra.
- This approach is particularly relevant when antibiotics are ineffective or transvaginal drainage is not feasible.
- CT-guided drainage can be a safe and effective minimally invasive option for complex pyometra cases.
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