A case of pyometra treated with endoscopic ultrasound-guided drainage

Hideki Ishikawa, Tomomasa Morishima, Takashi Seino, Hiroyuki Otuka, Hideaki Kondo, Akihiro Itoh, Hidemi Goto, Yoshiki Hirooka

Research output: Contribution to journalArticle

Abstract

A 90-year-old woman was admitted to our hospital because of a high-grade fever and appetite loss. On computed tomography scan, a huge cystic lesion about 10 cm in diameter was observed in the pelvic cavity, attached to the vagina and the neck of uterus. Pyometra was strongly suspected; however, a probe could not be inserted into the opening of the uterus because of atrophic changes. Therefore, we decided to perform endoscopic ultrasound (EUS)-guided drainage of the pyometra using the transrectal route. Foul-smelling yellow-brown pus was aspirated. A guide-wire was inserted and a 7 Fr catheter was inserted into the pyometra through an external fistula. We thus completed the treatment of pyometra without surgical resection.

Original languageEnglish
Pages (from-to)93-96
Number of pages4
JournalJournal of Medical Ultrasonics
Volume39
Issue number2
DOIs
Publication statusPublished - 2012 Apr 1
Externally publishedYes

Fingerprint

Pyometra
Drainage
Uterus
Cutaneous Fistula
Suppuration
Vagina
Appetite
Fever
Catheters
Tomography

Keywords

  • Drainage
  • Endoscopic ultrasound-guided fine-needle aspiration
  • Interventional endoscopic ultrasound
  • Pyometra

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Ishikawa, H., Morishima, T., Seino, T., Otuka, H., Kondo, H., Itoh, A., ... Hirooka, Y. (2012). A case of pyometra treated with endoscopic ultrasound-guided drainage. Journal of Medical Ultrasonics, 39(2), 93-96. https://doi.org/10.1007/s10396-011-0340-9

A case of pyometra treated with endoscopic ultrasound-guided drainage. / Ishikawa, Hideki; Morishima, Tomomasa; Seino, Takashi; Otuka, Hiroyuki; Kondo, Hideaki; Itoh, Akihiro; Goto, Hidemi; Hirooka, Yoshiki.

In: Journal of Medical Ultrasonics, Vol. 39, No. 2, 01.04.2012, p. 93-96.

Research output: Contribution to journalArticle

Ishikawa, H, Morishima, T, Seino, T, Otuka, H, Kondo, H, Itoh, A, Goto, H & Hirooka, Y 2012, 'A case of pyometra treated with endoscopic ultrasound-guided drainage', Journal of Medical Ultrasonics, vol. 39, no. 2, pp. 93-96. https://doi.org/10.1007/s10396-011-0340-9
Ishikawa H, Morishima T, Seino T, Otuka H, Kondo H, Itoh A et al. A case of pyometra treated with endoscopic ultrasound-guided drainage. Journal of Medical Ultrasonics. 2012 Apr 1;39(2):93-96. https://doi.org/10.1007/s10396-011-0340-9
Ishikawa, Hideki ; Morishima, Tomomasa ; Seino, Takashi ; Otuka, Hiroyuki ; Kondo, Hideaki ; Itoh, Akihiro ; Goto, Hidemi ; Hirooka, Yoshiki. / A case of pyometra treated with endoscopic ultrasound-guided drainage. In: Journal of Medical Ultrasonics. 2012 ; Vol. 39, No. 2. pp. 93-96.
@article{f5138baf1af84a069d4d0a923eec8eea,
title = "A case of pyometra treated with endoscopic ultrasound-guided drainage",
abstract = "A 90-year-old woman was admitted to our hospital because of a high-grade fever and appetite loss. On computed tomography scan, a huge cystic lesion about 10 cm in diameter was observed in the pelvic cavity, attached to the vagina and the neck of uterus. Pyometra was strongly suspected; however, a probe could not be inserted into the opening of the uterus because of atrophic changes. Therefore, we decided to perform endoscopic ultrasound (EUS)-guided drainage of the pyometra using the transrectal route. Foul-smelling yellow-brown pus was aspirated. A guide-wire was inserted and a 7 Fr catheter was inserted into the pyometra through an external fistula. We thus completed the treatment of pyometra without surgical resection.",
keywords = "Drainage, Endoscopic ultrasound-guided fine-needle aspiration, Interventional endoscopic ultrasound, Pyometra",
author = "Hideki Ishikawa and Tomomasa Morishima and Takashi Seino and Hiroyuki Otuka and Hideaki Kondo and Akihiro Itoh and Hidemi Goto and Yoshiki Hirooka",
year = "2012",
month = "4",
day = "1",
doi = "10.1007/s10396-011-0340-9",
language = "English",
volume = "39",
pages = "93--96",
journal = "Japanese Journal of Medical Ultrasonics",
issn = "1346-4523",
publisher = "Springer Japan",
number = "2",

}

TY - JOUR

T1 - A case of pyometra treated with endoscopic ultrasound-guided drainage

AU - Ishikawa, Hideki

AU - Morishima, Tomomasa

AU - Seino, Takashi

AU - Otuka, Hiroyuki

AU - Kondo, Hideaki

AU - Itoh, Akihiro

AU - Goto, Hidemi

AU - Hirooka, Yoshiki

PY - 2012/4/1

Y1 - 2012/4/1

N2 - A 90-year-old woman was admitted to our hospital because of a high-grade fever and appetite loss. On computed tomography scan, a huge cystic lesion about 10 cm in diameter was observed in the pelvic cavity, attached to the vagina and the neck of uterus. Pyometra was strongly suspected; however, a probe could not be inserted into the opening of the uterus because of atrophic changes. Therefore, we decided to perform endoscopic ultrasound (EUS)-guided drainage of the pyometra using the transrectal route. Foul-smelling yellow-brown pus was aspirated. A guide-wire was inserted and a 7 Fr catheter was inserted into the pyometra through an external fistula. We thus completed the treatment of pyometra without surgical resection.

AB - A 90-year-old woman was admitted to our hospital because of a high-grade fever and appetite loss. On computed tomography scan, a huge cystic lesion about 10 cm in diameter was observed in the pelvic cavity, attached to the vagina and the neck of uterus. Pyometra was strongly suspected; however, a probe could not be inserted into the opening of the uterus because of atrophic changes. Therefore, we decided to perform endoscopic ultrasound (EUS)-guided drainage of the pyometra using the transrectal route. Foul-smelling yellow-brown pus was aspirated. A guide-wire was inserted and a 7 Fr catheter was inserted into the pyometra through an external fistula. We thus completed the treatment of pyometra without surgical resection.

KW - Drainage

KW - Endoscopic ultrasound-guided fine-needle aspiration

KW - Interventional endoscopic ultrasound

KW - Pyometra

UR - http://www.scopus.com/inward/record.url?scp=84863525148&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863525148&partnerID=8YFLogxK

U2 - 10.1007/s10396-011-0340-9

DO - 10.1007/s10396-011-0340-9

M3 - Article

VL - 39

SP - 93

EP - 96

JO - Japanese Journal of Medical Ultrasonics

JF - Japanese Journal of Medical Ultrasonics

SN - 1346-4523

IS - 2

ER -