Two cases of pyometrocolpos due to distal vaginal atresia.
Children with pyometrocolpos due to distal vaginal atresia may present as acutely ill, with severe obstructive uropathy and septicemia. In such patients the clinical course is markedly improved by urgent drainage of the infected cystic mass, and a temporary drainage procedure is required to allow local findings of infection to subside before definitive surgery. We present two children with pyometrocolpos with the above-mentioned clinical course, in whom percutaneous drainage with computed tomography-guided catheter placement through the lower abdominal wall was performed because of the high risks of complex drainage procedures and general anesthesia. This drainage did result in dramatically improved clinical status, and findings of local inflammation resolved within 4-6 weeks, which facilitated a later successful definitive surgical procedure.
Imamoğlu
Mustafa
M
Department of Pediatric Surgery, Faculty of Medicine, Karadeniz Technical University, Trabzon 61080, Turkey. mimamoglu61@yahoo.com
Cay
Ali
A
Sarihan
Haluk
H
Koşucu
Polat
P
Ozdemir
Oğuzhan
O
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000208:Acute Disease; D002648:Child; D004322:Drainage / Q000379:methods; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D014057:Tomography, X-Ray Computed; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities*