Pyomyoma as a Rare Source of Postpartum Sepsis.
Pyomyoma, also known as suppurative leiomyoma, is a rare clinical complication that occurs when a leiomyoma undergoes infarction and subsequent infection. A high index of suspicion is required to make the diagnosis and can be guided by a classic triad of symptoms that includes abdominal pain, sepsis without an obvious source, and a history of leiomyoma. In the vast majority of these cases, total abdominal hysterectomy is required to avoid severe morbidity and potential mortality. We present an unusual case of a postpartum pyomyoma that was successfully treated without the need for hysterectomy. With strong clinical suspicion, early diagnosis, and appropriate management, some affected patients may preserve fertility.
Midlands Regional Hospital, Portlaoise, Co. Laois, Ireland.
A
A
DeMaio
Midlands Regional Hospital, Portlaoise, Co. Laois, Ireland.
M
M
Doyle