Myometrial Abscess in the Non-Instrumented Uterus

A 67-year-old female with pelvic pain and leukocytosis had imaging demonstrating a 3.2  × 2.3cm ring-enhancing lesion suspicious for a myometrial abscess (Fig. 1). She was in remission from Mantle-cell lymphoma following total-body radiation and chemotherapy. Initially vitally stable and afebrile, she eventually developed sepsis despite conservative management with broad-spectrum antimicrobials. Exploratory laparoscopy demonstrated diffuse abscesses and abdomino-pelvic adhesions (Fig. 2). Intraoperative finding of the ruptured cornual abscess (Figure 3) prompted hysterectomy.

Source: The Journal of Minimally Invasive Gynecology - November 5, 2021 Category: OBGYN Authors: Tal Milman, Azra Shivji, Darl Edwards, M Jonathon Solnik Tags: IMAGES IN Gynecological Surgery Source Type: research