Pyometra after Le Fort colpocleisis resolved with interventional radiology drainage.
BACKGROUND
Le Fort colpocleisis is a surgical treatment option for advanced pelvic organ prolapse in women who are willing to give up future vaginal sexual function. Pelvic abscess, or pyometra, after Le Fort colpocleisis has been reported and is thought to be related to inadequate lateral drainage channels. To date, these cases of postoperative pyometra have been managed using hysterectomy.


METHODS
: We report a case of pyometra after a Le Fort colpocleisis conservatively managed with interventional radiologically guided abscess drainage and dilation of the lateral drainage tracts.


CONCLUSIONS
Interventional radiology drainage and manual dilation of the lateral drainage tracts can be used as an alternative to hysterectomy in managing Pyometra after a Le Fort colpocleisis.
Shayya
Rana F
RF
From the Department of Reproductive Medicine, University of California, San Diego, San Diego, California.
Weinstein
Milena M
MM
Lukacz
Emily S
ES
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D055112:Pyometra / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D015641:Radiography, Interventional; D012772:Shock, Septic / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D013396:Suction; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
D000900:Anti-Bacterial Agents