Nonsurgical Treatment of Pyomyoma in the Postpartum Period

Abstract

Therapy via drainage and lavage of pyomyoma is a viable option to preserve patient fertility. In the absence of a proper response to this treatment, total abdominal hysterectomy is the treatment of choice.

Pyomyoma Following Uterine Artery Embolization (UAE) – Dual Case Report and Review of Literature

“…Traditional surgical approaches to treatment of pyomyoma have been hysterectomy and myomectomy, both cases we reported showed complete resolution of symptoms after total abdominal hysterectomy was performed. More recently other approaches have been introduced such as CT guided drainage [23] and Pinto et al [7] discussed laparoscopic approach for drainage and lavage of a perforated pyomyoma. These are also viable approaches to patients desiring to avoid irreversible sterility associated with Hysterectomy and a less invasive alternative to myomectomy and hysterectomy [7].…”

Postnatal pyomyoma: a diagnostic dilemma

“…Laubach et al 9 have recently shown the use of CT-guided drainage and lavage of pyomyoma related to pregnancy in two out of three cases successfully. They suggest that image-guided drainage is a safer, minimally invasive option for these patients who can be critically ill and septic, exposing them to less risks of extensive surgery and also preserving fertility 9.…”

“…They suggest that image-guided drainage is a safer, minimally invasive option for these patients who can be critically ill and septic, exposing them to less risks of extensive surgery and also preserving fertility 9. In the absence of complete recovery, however, the option of TAH still remains.…”

Pyomayoma during pregnancy: A case report and review of the literature

“…As for pyomyoma linked to pregnancy, 16 cases (including this case) have been reported since 1945 after the antibiotic era. The cases are shown chronologically in Table 1 4–16 . Most cases exhibited an interval of days to weeks between delivery or abortion and onset of symptoms, suggesting that most pyomyomas developed insidiously resulting from extension of endometritis caused by intrauterine manipulation.…”

“…The cases are shown chronologically in Table 1. [4][5][6][7][8][9][10][11][12][13][14][15][16] Most cases exhibited an interval of days to weeks between delivery or abortion and onset of symptoms, suggesting that most pyomyomas developed insidiously resulting from extension of endometritis caused by intrauterine manipulation. Only four cases were involved in pyomyoma during pregnancy, and the current case alone continued to term delivery.…”