Pyomyoma: A Rare and Life-threatening Complication of Uterine Leiomyoma

Chen, Zoe Hui-Ying; Tsai, Horng‐Der; Sun, Mou-Jong

doi:10.1016/s1028-4559(10)60072-1

Cited by 19 publications

(19 citation statements)

References 13 publications

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“…Pyomyoma, a suppurative myoma of the uterus, is a rare complication of leiomyoma that has been reported in the postpartum setting and postgynecological procedures and following uterine artery fibroid embolization [ 1 , 6 – 10 ]. Most cases of pyomyoma reported in the gynecological literature arise spontaneously, postpartum, or postsurgical.…”

Section: Discussionmentioning

confidence: 99%

A Case of Pyomyoma following Uterine Fibroid Embolization and a Review of the Literature

Obele

Dunham

Bennett

et al. 2016

Case Reports in Obstetrics and Gynecology

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Background. Since its introduction in 1996, uterine fibroid embolization (UFE) has become standard medical practice in the management of symptomatic uterine fibroids. An extremely rare complication, pyomyoma, has been reported only 5 times previously in the literature following UFE. Case. A 37-year-old woman underwent UFE for symptomatic leiomyomas of the uterus. Signs and symptoms of uterine infection ensued, beginning at 6 days following the procedure. Recurrent fevers and increasing leukocytosis despite the intravenous administration of appropriate antibiotics eventually necessitated surgical intervention on postprocedure day #18. Conclusion. An extremely rare complication of UFE is herein presented, pyomyoma, with a review of other reported cases. Commonalities are sought among these few reported cases with the hope of increasing diagnostic acumen in the detection of this disease.

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Section: Discussionmentioning

confidence: 99%

A Case of Pyomyoma following Uterine Fibroid Embolization and a Review of the Literature

Obele

Dunham

Bennett

et al. 2016

Case Reports in Obstetrics and Gynecology

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“…Most cases of pyomyoma have occurred following abortion or delivery mainly caused by ascending infection from the lower genital tract. 1,2 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.…”

Section: Discussionmentioning

confidence: 93%

“…Pyomyoma, or suppurative leiomyoma, is a rare but potentially fatal complication of uterine leiomyomas. Since 1945, only 28 cases have been documented in the literature, and the mortality was 11% (3 of the 28 cases died) 1,2 . Pyomyoma is difficult to diagnose, and the high mortality rate is associated with delayed diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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

Kobayashi

Kondoh

Hamanishi

et al. 2012

J of Obstet and Gynaecol

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Pyomyoma (suppurative leiomyoma) is a rare but serious complication of uterine leiomyomas. Although the management of leiomyomas during pregnancy is usually expectant, prompt surgical intervention is mandatory for pyomyoma. We present a case of pyomyoma with peritonitis that necessitated myomectomy at 21 weeks of gestation in a 28-year-old nullipara in which the pregnancy continued to successful delivery at 37 weeks of gestation. Perinatal and neonatal outcomes in pregnancies complicated with pyomyoma may be improved by prompt surgical intervention even in the early second trimester. A brief review of the literature regarding pyomyoma associated with pregnancy is also described.

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“…Since its first description in 1871, less than a hundred cases of pyomyomas have been reported. Without appropriate treatment, the mortality rate is 20% [1] .…”

Section: Discussionmentioning

confidence: 99%

“…Uterine fibroids are a frequent pathology but pyomyoma (also called infected or suppurative leiomyoma) is a rare complication resulting from the bacterial colonization of an infarcted leiomyoma. Early diagnosis is important as it is associated with high rates of morbidity and can lead to fatal results [1] .…”

Section: Introductionmentioning

confidence: 99%