Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report

Autor: Kiley Hunkler, David Boedeker, Yovanni Casablanca, Micah Hill
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Case Reports in Women's Health, Vol 44, Iss , Pp e00660- (2024)
Druh dokumentu: article
ISSN: 2214-9112
DOI: 10.1016/j.crwh.2024.e00660
Popis: Pyometra is rare and refers to purulent material in the uterine cavity, which can lead to uterine perforation. A hysterectomy is the historic treatment for perforated pyometra due to the condition's high morbidity and mortality. A 33-year-old woman with uterine factor infertility underwent an abdominal myomectomy that was complicated by post-operative, perforated pyometra. She received conservative treatment with surgical debridement and broad-spectrum antibiotics. Following her recovery and subsequent infertility treatments, she had a term live birth through in vitro fertilization. The case highlights the value of uterine-sparing treatment in carefully selected patients with post-operative, perforated pyometra, in order to preserve fertility.
Databáze: Directory of Open Access Journals