Ultrasound-guided percutaneous drainage of neonatal pyometrocolpos under local anesthesia

Date

2011-02

Authors

Algın, Oktay

Journal Title

Journal ISSN

Volume Title

Publisher

Springer

Abstract

Hydrometrocolpos is an uncommon congenital disorder with cystic dilatation of the vagina and uterus that occurs as a result of accumulated secretions from the reproductive tract due to distal genital tract obstruction. Secondary infection may also occur, resulting in pyometrocolpos, a potentially lethal disease. Immediate drainage of the cystic mass in patients determined to have pyometrocolpos is required to prevent or treat uropathy and septicemia until definitive corrective surgery can be performed. We report an unusual cause of obstructive uropathy in three infants: pyometrocolpos due to lower genital tract atresia. Ultrasound-guided percutaneous drainage of the pyometrocolpos resulted in dramatically improved clinical and laboratory findings in these patients. Ultrasound-guided percutaneous drainage under local anesthesia is a simple, minimally invasive, safe, and effective procedure that facilitates later successful corrective surgery and avoids the need for more complex drainage procedures.

Description

Keywords

Cardiovascular system & cardiology, Radiology, nuclear medicine & medical imaging, Pyometrocolpos, Interventional radiologym, Ultrasound guided, Percutaneous drainage, Newborn, Acute urinary retention, Hydrometrocolpos, Imperforate Hymen, Vaginal Atresia, Anomalies

Citation

Algın, O. vd. (2011). "Ultrasound-guided percutaneous drainage of neonatal pyometrocolpos under local anesthesia". Cardiovascular and Interventional Radiology, 34(Supplement 2), S271-S276.