Manual vacuum aspiration for postpartum pyometra

BMJ Case Rep. 2023 Dec 1;16(12):e258048. doi: 10.1136/bcr-2023-258048.

Abstract

Postpartum pyometra is rare; however, it may lead to sepsis. The main initial symptoms are fever, lower abdominal pain and foul-smelling lochia. The treatment includes antibiotic administration and surgical drainage. This is a report of postpartum pyometra following a caesarean section that was successfully treated with manual vacuum aspiration, a simple and minimally invasive option. Other treatment options include pyometra reduction using placenta forceps and the placement of an intrauterine drainage catheter.

Keywords: Infectious diseases; Pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cesarean Section
  • Female
  • Humans
  • Postpartum Period
  • Pregnancy
  • Pyometra* / diagnosis
  • Pyometra* / surgery
  • Vacuum Curettage

Substances

  • Anti-Bacterial Agents