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CASE REPORT
Year : 2014  |  Volume : 28  |  Issue : 1  |  Page : 52-53

Pyocolpos with infected right ovarian cyst: A rare case report


Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Dr. Wanroi Dkhar
Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal - 795 004, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.135237

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Pyocolpos is a rare clinical finding in vaginal atresia. Pyocolpos is cystic dilatation of the vagina due to accumulation of pus due to genital tract obstruction. The causes of obstruction can be imperforate hymen, transverse vaginal membrane, and rarely vaginal atresia. We present a case of 18-year-old married women Go Po+o, admitted with severe pain and swelling of the lower abdomen for 3 months. She had undergone laparotomy with vaginoplasty for vaginal atresia with hematocolpos and pyoperitoneum in 2009 and had refused mould insertion. On laparotomy, she was found to have pyocolpos and infected right ovarian cyst, which was probably due to re-obstruction of vagina. Right ovarian cystectomy followed by subtotal hysterectomy was performed. Post-operative period was uneventful. Following vaginoplasty, follow up and regular vaginal dilatation are essential to avoid complications involving re-obstruction and ascending genital infection.


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