A case of pyometra treated with endoscopic ultrasound-guided drainage.
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.
Department of Endoscopy and Gastroenterology, Tokai Central Hospital of the Mutual Aid Association of Public School Teachers, Gifu, Japan.
Hideki
H
Ishikawa
Department of Endoscopy and Gastroenterology, Tokai Central Hospital of the Mutual Aid Association of Public School Teachers, Gifu, Japan.
Tomomasa
T
Morishima
Department of Endoscopy and Gastroenterology, Tokai Central Hospital of the Mutual Aid Association of Public School Teachers, Gifu, Japan.
Takashi
T
Seino
Department of Endoscopy and Gastroenterology, Tokai Central Hospital of the Mutual Aid Association of Public School Teachers, Gifu, Japan.
Hiroyuki
H
Otuka
Department of Obstetrics and Gynecology, Tokai Central Hospital of the Mutual Aid Association of Public School Teachers, Gifu, Japan.
Hideaki
H
Kondo
Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Akihiro
A
Itoh
Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hidemi
H
Goto
Department of Endoscopy, Nagoya University Hospital, 65 Tsuruma, Showa, Nagoya, 466-8550, Japan. hirooka@med.nagoya-u.ac.jp.
Yoshiki
Y
Hirooka
Drainage; Endoscopic ultrasound-guided fine-needle aspiration; Interventional endoscopic ultrasound; Pyometra