Park Tae Chul, Lee Hee Joong
Department of Obstetrics and Gynecology, The Catholic University of Korea, Seoul, Korea.
J Obstet Gynaecol Res. 2013 Jul;39(7):1276-9. doi: 10.1111/jog.12049. Epub 2013 May 30.
A woman in early pregnancy was referred due to severe pelvic pain. Vaginal examination showed a severely protruding left vaginal wall with severe tenderness. A transvaginal ultrasound showed a double uterus and a mixed echogenic mass next to the cervix of the left uterus. After creating an opening in the left vaginal wall and inserting a Foley catheter through the opening into the vaginal wall for drainage with antibiotic therapy, the patient's condition rapidly improved. A culture of the pus drained from the vaginal wall showed Pediococcus species. The patient delivered a healthy infant by cesarean section at term gestation without recurrence of pyocolpos. Ten months after delivery, resection of the vaginal septum was performed and the left cervix was exposed. Ultrasound revealed normal kidneys.
一名早孕女性因严重盆腔疼痛前来就诊。阴道检查发现左侧阴道壁严重膨出且有严重压痛。经阴道超声检查显示为双子宫，左侧子宫宫颈旁有一混合回声团块。在左侧阴道壁造口并通过该开口插入一根 Foley 导管至阴道壁进行引流并给予抗生素治疗后，患者病情迅速好转。从阴道壁引流的脓液培养显示为片球菌属。患者足月妊娠时行剖宫产分娩出一名健康婴儿，阴道积脓未复发。分娩后十个月，进行了阴道纵隔切除术，暴露了左侧宫颈。超声检查显示双肾正常。
