Department of Radiology, Atatürk Training and Research Hospital, Bilkent, Ankara, Turkey.
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S271-6. doi: 10.1007/s00270-010-9814-1. Epub 2010 Feb 4.
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.
积水性阴道子宫症是一种罕见的先天性疾病，由于生殖道远端梗阻导致生殖分泌物积聚，导致阴道和子宫囊性扩张。也可能发生继发感染，导致潜在致命的脓毒性阴道子宫积水症。对于确诊为脓毒性阴道子宫积水症的患者，需要立即引流囊性肿块，以预防或治疗尿路病和败血症，直到能够进行确定性矫正手术。我们报告了三例婴儿梗阻性尿路病的不常见病因：由于下生殖道闭锁导致的脓毒性阴道子宫积水症。超声引导下经皮穿刺引流脓毒性阴道子宫积水症可显著改善这些患者的临床和实验室检查结果。在局部麻醉下超声引导经皮穿刺引流是一种简单、微创、安全、有效的方法，可促进后期成功的矫正手术，并避免需要更复杂的引流程序。
