Management of piocolpos during pregnancy: case report


Authors

  • Miguel Angel Montañez Aldana Universidad Pedagógica y Tecnológica de Colombia - ESE Hospital Universitario San Rafael de Tunja https://orcid.org/0000-0003-3618-1790
  • Laura Johana García Muñoz Escuela de Medicina, Universidad Pedagógica y Tecnológica de Colombia
  • Ashly Catalina Gómez Cuervo Escuela de Medicina, Universidad Pedagógica y Tecnológica de Colombia
  • Natalia Imbachí Joaquí Escuela de Medicina, Universidad Pedagógica y Tecnológica de Colombia
  • Ana María Jaimes Olave Escuela de Medicina, Universidad Pedagógica y Tecnológica de Colombia
  • Jenny Patricia Gómez Bohórquez ervicio de Ginecología, E.S.E. Hospital Universitario San Rafael de Tunja. Escuela de Medicina, Universidad Pedagógica y Tecnológica de Colombia

DOI:

https://doi.org/10.22517/25395203.25890

Keywords:

Pyocolpos, bicollis, bicornuate uterus, transverse vaginal septum, pregnancy

Abstract

Pyocolpos, defined as the accumulation of pus in the vagina, is a rare gynecological complication typically associated with Müllerian developmental anomalies, which are polygenic and multifactorial malformations affecting the female population. These include bicornuate, septate, and arcuate uteri. This article presents the case of a 23-year-old pregnant woman diagnosed with pyocolpos in the context of a congenital uterine malformation. The patient had a bicornuate uterus bicollis, a transverse vaginal septum, and left renal agenesis. During pregnancy, she experienced suprapubic pain and purulent vaginal discharge. Imaging studies, including magnetic resonance imaging (MRI), revealed a double endocervical canal and a left paracervical collection, confirming the diagnosis. Antibiotic therapy and supportive measures were initiated, resulting in favorable clinical progress. The pregnancy was electively completed at 37 weeks via cesarean section, without maternal or neonatal complications.

 

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Published

2026-05-16

How to Cite

Montañez Aldana, M. A., García Muñoz, L. J. ., Gómez Cuervo, A. C. ., Imbachí Joaquí, N. ., Jaimes Olave , A. M., & Gómez Bohórquez, J. P. . (2026). Management of piocolpos during pregnancy: case report. Revista Médica De Risaralda, 32(1), 181–193. https://doi.org/10.22517/25395203.25890