Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report
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 <i>in vitro</i> fertilization. The case highlights the value of uterine-sparing treatment in carefully selected patients with post-operative, perforated pyometra, in order to preserve fertility.
Authors
- Micah J. Hill (ORCID: https://orcid.org/0000-0002-3104-7763)
- David Boedeker (ORCID: https://orcid.org/0009-0008-9236-6873)
- Yovanni Casablanca (ORCID: https://orcid.org/0000-0003-1476-1508)
- Kiley Hunkler (ORCID: https://orcid.org/0009-0002-6292-712X)
Institutions
- Walter Reed National Military Medical Center (US)
- National Institute of Child Health (HU)
- Levine Cancer Institute (US)
- National Institute of Child Health (PK)
- Health and Human Development (2HD) Research Network (CM)
Publication Details
- Journal
- Case Reports in Women s Health
- Published
- 2024-10-31
- DOI
- https://doi.org/10.1016/j.crwh.2024.e00660
- Primary Topic
- Uterine Myomas and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Defense
- Walter Reed National Military Medical Center