P34.06: Difficulties in the diagnosis of a large intramyometrial abscess

Conservative surgical management of multiple myometrial abscesses; an unusual case with review of the literature

“…Intramyometrial abscess can masquerade as degenerating fibroids, necrotic tumours, and can exist without overt signs or symptoms of an infection [13]. To the present authors' knowledge, the previously reported myometrial abscess cases were of solitary lesions and the present patient seems to be the first multiple myometrial abscess case managed by a conservative surgical approach.…”

“…The authors had to perform total abdominal hysterectomy and bilateral sapingo-oophorectomy. Kuah et al in Singapore, also presented another 46-year-old case with an intramyometrial abscess which was treated by total abdominal hysterectomy and bilateral sapingo-oophorectomy [13]. In the presented case, since the patient had desire for preservation of fertility, the operation was conducted in a conservative manner which also resulted in full recovery with the assistance of antibiotherapy against the microorganisms isolated from the myometrial abscess.…”