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
. 2015:2015:263518.
doi: 10.1155/2015/263518. Epub 2015 Aug 9.

Pyomyoma as a Rare Source of Postpartum Sepsis

A DeMaio  1 , M Doyle  1
Affiliations

Pyomyoma as a Rare Source of Postpartum Sepsis

A DeMaio et al. Case Rep Obstet Gynecol. 2015.

Abstract

Pyomyoma, also known as suppurative leiomyoma, is a rare clinical complication that occurs when a leiomyoma undergoes infarction and subsequent infection. A high index of suspicion is required to make the diagnosis and can be guided by a classic triad of symptoms that includes abdominal pain, sepsis without an obvious source, and a history of leiomyoma. In the vast majority of these cases, total abdominal hysterectomy is required to avoid severe morbidity and potential mortality. We present an unusual case of a postpartum pyomyoma that was successfully treated without the need for hysterectomy. With strong clinical suspicion, early diagnosis, and appropriate management, some affected patients may preserve fertility.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Large, malodourous mass removed manually under anaesthesia.
See this image and copyright information in PMC

References

    1. Baird D. D., Dunson D. B., Hill M. C., Cousins D., Schectman J. M. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. American Journal of Obstetrics and Gynecology. 2003;188(1):100–107. doi: 10.1067/mob.2003.99. - DOI - PubMed
    1. Mason T. C., Adair J., Lee Y. C. Postpartum pyomyoma. Journal of the National Medical Association. 2005;97(6):826–828. - PMC - PubMed
    1. Greenspoon J. S., Ault M., James B. A., Kaplan L. Pyomyoma associated with polymicrobial bacteremia and fatal septic shock: Case report and review of the literature. Obstetrical and Gynecological Survey. 1990;45(9):563–569. doi: 10.1097/00006254-199009000-00001. - DOI - PubMed
    1. Prichard J. G., Lowenstein M. H., Silverman I. J., Brennan J. C. Streptococcus milleri pyomyoma simulating infective endocarditis. Obstetrics and Gynecology. 1986;68(supplement 3):46s–49s. - PubMed
    1. Wong T. C., Bard D. S., Pearce L. W. Unusual case of IUD-associated postabortal sepsis complicated by an infected necrotic leiomyoma, suppurative pelvic thrombophlebitis, ovarian vein thrombosis, hemoperitoneum and drug fever. The Journal of the Arkansas Medical Society. 1986;83(3):138–147. - PubMed

LinkOut - more resources