Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report

Kiley Hunkler; David Boedeker; Yovanni Casablanca; Micah Hill

doi:10.1016/j.crwh.2024.e00660

Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report

Kiley Hunkler^*, David Boedeker, Yovanni Casablanca, Micah Hill

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Article number	e00660
Journal	Case Reports in Women's Health
Volume	44
DOIs	https://doi.org/10.1016/j.crwh.2024.e00660
State	Published - Dec 2024

Keywords

Artificial reproductive technology
Fertility-sparing surgery
In vitro fertilization
Pyometra

Access to Document

10.1016/j.crwh.2024.e00660

Cite this

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title = "Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report",

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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T1 - Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy

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AU - Boedeker, David

AU - Casablanca, Yovanni

AU - Hill, Micah

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N2 - 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.

AB - 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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KW - Fertility-sparing surgery

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