Kiley Hunkler , David Boedeker , Yovanni Casablanca , Micah Hill
{"title":"Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report","authors":"Kiley Hunkler , David Boedeker , Yovanni Casablanca , Micah Hill","doi":"10.1016/j.crwh.2024.e00660","DOIUrl":null,"url":null,"abstract":"<div><div>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 <em>in vitro</em> fertilization. The case highlights the value of uterine-sparing treatment in carefully selected patients with post-operative, perforated pyometra, in order to preserve fertility.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00660"},"PeriodicalIF":0.7000,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Women's Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221491122400081X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
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.
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