title: Pyomayoma during pregnancy: a case report and review of the literature.
abstract: 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.
authors: Department of Gynecology and Obstetrics, Kyoto University, Kyoto, Japan.
authors: Fumimasa
authors: F
authors: Kobayashi
authors: Eiji
authors: E
authors: Kondoh
authors: Junzo
authors: J
authors: Hamanishi
authors: Yosuke
authors: Y
authors: Kawamura
authors: Keiji
authors: K
authors: Tatsumi
authors: Ikuo
authors: I
authors: Konishi
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D013492:Suppuration / Q000601:surgery; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*