Pyomyoma after uterine artery embolization.
BACKGROUND
Pyomyoma (suppurative leiomyoma of the uterus) is a rare condition resulting from infarction and infection of a leiomyoma. It can lead to sepsis and death unless treated with antibiotics and aggressive surgical intervention.


METHODS
A 47-year-old multigravid woman with symptomatic uterine leiomyomas presented with fever, pelvic pain, and leukocytosis after uncomplicated uterine artery embolization. Pyomyoma was suspected after computed tomography scan demonstrated an enlarged, heterogeneous uterus containing copious myometrial air. She underwent supracervical hysterectomy, lysis of adhesions, and right salpingo-oophorectomy.


CONCLUSIONS
Surgical management of pyomyoma may be necessary early in the management of pyomyoma after uterine artery embolization.
Department of Obstetrics & Gynecology, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Marcy L
ML
Rosen
Matthew L
ML
Anderson
Shannon M
SM
Hawkins
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016866:Bacteroidaceae Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000382:microbiology* / Q000601:surgery / Q000628:therapy*; D008875:Middle Aged; D018720:Prevotella; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D014594:Uterine Neoplasms / Q000382:microbiology* / Q000601:surgery / Q000628:therapy*
D000900:Anti-Bacterial Agents