Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2010 Aug:116 Suppl 2:526-528.
doi: 10.1097/AOG.0b013e3181e6e122.

Pyomyoma in a premenopausal woman with fever of unknown origin

Mehrangiz Zangeneh  1 , Azam Alsadat Mahdavi, Elham Amini, Seyed Davar Siadat, Leila Karimian
Affiliations
Case Reports

Pyomyoma in a premenopausal woman with fever of unknown origin

Mehrangiz Zangeneh et al. Obstet Gynecol. 2010 Aug.

Abstract

Background: Pyomyoma (suppurative leiomyoma) is a rare disease that is a serious complication. Most cases have occurred in pregnant or postmenopausal women.

Case: A perimenopausal woman presented with fever and shoulder pain. She had no predisposing factors or history of leiomyoma. Ultrasonographic as well as abdominal and pelvic computed tomography scans showed an enlarged uterus with two large masses. Internal heterogeneous echogenicity was noted in the lower segment and body of the uterus. The elevated temperature continued despite a 3-day antibiotic course of clindamycin, ceftriaxone, and gentamicin. With a clinical impression of infected leiomyoma, she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Pathological findings showed a leiomyoma with abscess formation. The patient responded well to surgery.

Conclusion: Pyomyoma may be difficult to diagnose, especially in women with a nonspecific clinical presentation. Delayed diagnosis may result in serious complications, and surgery and broad spectrum antibiotics are indicated.

PubMed Disclaimer

References

    1. Schorge JO, Schaffer JI, Halvorson LM, Hoffman BL, Bradshow KD, Cunningham FG. Williams gynecology. New York (NY): McGraw-Hill; 2008.
    1. Mason TC, Adair J, Lee YC. Postpartum pyomyoma. J Natl Med Assoc 2005;97:826–8.
    1. Genta Pedro R, Dias ML, Janiszewski TA, Carvalho JP, Arai MH, Meireles LP. Streptococcus agalactiae endocarditis and giant pyomyoma simulating ovarian cancer. South Med J 2001;94:508–11.
    1. Sah SP, Rayamajhi AK, Bhadani PP. Pyomyoma in a postmenopausal woman: a case report. Southeast Asian J Trop Med Public Health 2005;36:979–81.
    1. Lin YH, Hwang JL, Huang LW, Chen HJ. Pyomyoma after cesarean section. Acta Obstet Gynecol Scand 2002;81:571–2.

Publication types

Substances

LinkOut - more resources