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


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
Issue number2
Publication statusPublished - 2012 Apr 1


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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    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, 39(2), 93-96. https://doi.org/10.1007/s10396-011-0340-9