Pyocolpos in an Elderly Woman

Buxant, Frédéric; Spinato, Linda; Coppens, Emmanuel; Simon, Philippe

doi:10.1080/00015458.2006.11679929

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…According to previous literature, pyocolpos may appear spontaneously without any history of gynaecologic cancer or trauma (Buxant et al, 2006). In the experimental and industrial animals, the morphological changes in the vagina under several stimuli have been reported (Ali et al, 2020;Oh and Kim, 2022).…”

Section: Discussionmentioning

confidence: 95%

Hematocolpos, pyocolpos, and pyocolpometra in intact female dogs with imperforate hymen

Kim

2022

J Anim Reprod Biotechnol

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Accumulations of fluid or blood with or without purulent material in the vagina or uterus are termed hydro/ hemato/pyo-colpos/colpometra. These disorders can occur in animals as well as human patients with a persistent hymen or acquired stenosis of the vagina. The hymen is formed by fusion of the Müllerian ducts and urogenital sinus, and usually regresses during the fetal or neonatal period in domestic animals (Sadler, 1985). Congenital vaginal obstructive disorders have been rarely reported in dogs and treatment options with surgical correction or laser ablation have been published (

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Section: Discussionmentioning

confidence: 95%

Hematocolpos, pyocolpos, and pyocolpometra in intact female dogs with imperforate hymen

Kim

2022

J Anim Reprod Biotechnol

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Section: Discussionmentioning

confidence: 99%

“…Pyocolpos is very rare in postmenopausal women, and the majority of reported cases in this age group occur following colpocleisis [ 1 , 8 , 9 ]. There was one reported case of spontaneous pyocolpos in an elderly woman [ 1 ], and it can be diagnosed with pelvic imaging, including ultrasound scans, CT, and MRI. It is necessary to confirm or rule out a primary pathology such as malignancy during the course of treatment, then drain the pus and prescribe appropriate antibiotics.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Pyocolpos in a Postmenopausal Woman With a History of Lichen Sclerosus and Postmenopausal Bleeding

Rubasinghe,

Guruwadayarhalli,

Alalade

et al. 2024

Cureus

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Pyocolpos refers to the buildup of pus within the vaginal cavity. Pyocolpos in the background of lichen sclerosis and postmenopausal bleeding (PMB) has not been previously described. A 69-year-old para 3 patient presented with a history of PMB with a long-standing history of lichen sclerosis. The vaginal examination was impossible due to vaginal adhesions. Vulval appearances revealed the loss of the clitoral architecture. Further imaging revealed an endometrial thickness of 4-5 mm, a focal abnormality within the posterior ectocervix compatible with a hemorrhagic cystic lesion distending the posterior fornix, and some free fluid within the pelvis. A hysteroscopy was abandoned as the vagina was completely obliterated. After a multidisciplinary assessment, the patient had a total abdominal hysterectomy, and the presence of a pyocolpos was noticed at the opening into the vault. We could not find any previous case reports of pyocolpos that are associated with lichen sclerosus. The long-standing history of lichen sclerosus may have caused an obstruction of the outflow tract, which was secondarily infected and slowly progressed into the formation of pyocolpos. Other management options could have been explored if the diagnosis of pyocolpos had been made preoperatively. Pyocolpos should be considered in patients with a history of a long-standing lichen sclerosus who present with abdominal pain and a pelvic mass on imaging.

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Pyocolpos presenting as a large pelvic mass after total colpocleisis

McCluskey

Stany

Hamilton

2015

American Journal of Obstetrics and Gynecology

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Pyocolpos in an Elderly Woman

Abstract: Pyocolpos in elderly woman may appear spontaneously without any history of gynaecologic cancer or trauma.

Cited by 3 publications

References 2 publications

Hematocolpos, pyocolpos, and pyocolpometra in intact female dogs with imperforate hymen

Hematocolpos, pyocolpos, and pyocolpometra in intact female dogs with imperforate hymen

A Case of Pyocolpos in a Postmenopausal Woman With a History of Lichen Sclerosus and Postmenopausal Bleeding

Pyocolpos presenting as a large pelvic mass after total colpocleisis

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