Case reports in women's health · 2024
Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hunkler Kiley, Boedeker David, Casablanca Yovanni, Hill Micah
Аннотация
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.