Korean J Obstet Gynecol.  2012 Mar;55(3):197-200. 10.5468/KJOG.2012.55.3.197.

A rare case of pyometrocolpos: A consequence of distal vaginal septum

Affiliations
  • 1Department of Obstetrics and Gynecology, Maharishi Markandeshwar Institute of Medicial Sciences and Research (MMIMSR), Mullana (Ambala), Haryana, India. sandhya81969@yahoo.com

Abstract

Pyometrocolpos resulting from congenital obstructing lesions can present during early childhood and adolescence with varying signs and symptoms. Children with pyometrocolpos due to distal vaginal obstruction may present as acutely ill with obstructive uropathy and septicaemia. We present a case of a two year old girl with pyometrocolpos in whom drainage under anaesthesia lead to marked improvement of her clinical symptoms.

Keyword

Congenital obstructing lesions; Distal vaginal obstruction pyometrocolpos

MeSH Terms

Adolescent
Child
Drainage
Humans

Figure

  • Fig. 1 Ultrasonography is showing cervix (solid arrow) and endometrial cavity (dashed arrow) filled with fluid with internal echoes suggestive of pyometra.

  • Fig. 2 Photograph of perineum showing vaginal orifice after resection of septum and drainage of pyometra.


Reference

1. Amesse LS, Pfaff-Amesse T. Mullerian duct anomalies [Internet]. c2012. cited 2012 Jan 14. New York, (NY): WebMD LLC;Available from: http://emedicine.medscape.com/article/273534-overview.
2. Hettler J. Fleisher GR, Ludwig S, Henretig FM, Ruddy RM, Silverman BK, editors. Pediatric and adolescent gynecology. Textbook of pediatric emergency medicine. 2010. 6th ed. Philadelphia (PA): Lippincott Williams & Wilkins;839–861.
3. Imamoğlu M, Cay A, Sarihan H, Koşucu P, Ozdemir O. Two cases of pyometrocolpos due to distal vaginal atresia. Pediatr Surg Int. 2005. 21:217–219.
4. Nazir Z, Rizvi RM, Qureshi RN, Khan ZS, Khan Z. Congenital vaginal obstructions: varied presentation and outcome. Pediatr Surg Int. 2006. 22:749–753.
5. Gupta DK, Sharma S. Puri P, Höllwarth ME, editors. Paediatric gynaecology: hydrometrocolpos. Pediatric surgery: diagnosis and management. 2009. Heidelberg (DE): Springer;957–966.
6. Algin O, Erdogan C, Kilic N. Ultrasound-guided percutaneous drainage of neonatal pyometrocolpos under local anesthesia. Cardiovasc Intervent Radiol. 2011. 34:Suppl 2. S271–S276.
Full Text Links
  • KJOG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr