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Manual vacuum aspiration for postpartum pyometra
  1. Shingo Io1,2,
  2. Maki Takemura2 and
  3. Hideo Takemura2
  1. 1Congenital Anomaly Research Center, Kyoto University Graduate School of Medicine Faculty of Medicine, Kyoto, Japan
  2. 2Kosaka Women's Hospital, Higashiosaka, Osaka, Japan
  1. Correspondence to Dr Shingo Io; shinio{at}


Postpartum pyometra is rare; however, it may lead to sepsis. The main initial symptoms are fever, lower abdominal pain and foul-smelling lochia. The treatment includes antibiotic administration and surgical drainage. This is a report of postpartum pyometra following a caesarean section that was successfully treated with manual vacuum aspiration, a simple and minimally invasive option. Other treatment options include pyometra reduction using placenta forceps and the placement of an intrauterine drainage catheter.

  • Pregnancy
  • Infectious diseases

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: SI and MT. The following authors gave final approval of the manuscript: SI, MT and HT. Is the patient one of the authors of this manuscript? No.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.