Article

Two cases of pyometrocolpos due to distal vaginal atresia.

Department of Pediatric Surgery, Faculty of Medicine, Karadeniz Technical University, Trabzon 61080, Turkey.
Pediatric Surgery International (impact factor: 1.25). 04/2005; 21(3):217-9. DOI:10.1007/s00383-004-1323-3 pp.217-9
Source: PubMed

ABSTRACT Children with pyometrocolpos due to distal vaginal atresia may present as acutely ill, with severe obstructive uropathy and septicemia. In such patients the clinical course is markedly improved by urgent drainage of the infected cystic mass, and a temporary drainage procedure is required to allow local findings of infection to subside before definitive surgery. We present two children with pyometrocolpos with the above-mentioned clinical course, in whom percutaneous drainage with computed tomography-guided catheter placement through the lower abdominal wall was performed because of the high risks of complex drainage procedures and general anesthesia. This drainage did result in dramatically improved clinical status, and findings of local inflammation resolved within 4-6 weeks, which facilitated a later successful definitive surgical procedure.

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Keywords

4-6 weeks
 
above-mentioned clinical course
 
acutely ill
 
Children
 
clinical course
 
complex drainage procedures
 
computed tomography-guided catheter placement
 
distal vaginal atresia
 
general anesthesia
 
infected cystic mass
 
local findings
 
local inflammation
 
lower abdominal wall
 
severe obstructive uropathy
 
successful definitive surgical procedure
 

Mustafa Imamoğlu