title: Nonsurgical treatment of pyomyoma in the postpartum period.
abstract: 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.
authors.affiliation: Service of Obstetrics, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium. monika.laubach@uzbrussel.be
authors.forename: Monika
authors.initials: M
authors.lastname: Laubach
authors.forename: Maria
authors.initials: M
authors.lastname: Breugelmans
authors.forename: Mina
authors.initials: M
authors.lastname: Leyder
authors.forename: Johan
authors.initials: J
authors.lastname: Demey
authors.forename: Walter
authors.initials: W
authors.lastname: Foulon
mesh_terms: 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*