Nonsurgical treatment of pyomyoma in the postpartum period.
BACKGROUND
Only 13 cases of pyomyoma related to pregnancy have been described since 1945. Treatment consists of hysterectomy, which exposes critically ill patients to operative risks and induces infertility.


METHODS
Three cases of pyomyoma in the postpartum period are described. Treatment using computed tomography-guided drainage was realized successfully in two cases.


CONCLUSIONS
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.
Laubach
Monika
M
Service of Obstetrics, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium. monika.laubach@uzbrussel.be
Breugelmans
Maria
M
Leyder
Mina
M
Demey
Johan
J
Foulon
Walter
W
D000328:Adult; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D009214:Myoma / Q000150:complications*; D049590:Postpartum Period; D011247:Pregnancy; D052880:Pyomyositis / Q000628:therapy*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000150:complications*