Pyomyoma after abortion: Uterus conserving surgery is possible to maintain fertility. Case report.
BACKGROUND
Pyomyoma is a rare complication associated with high rates of morbidity and mortality.


METHODS
We report the case of a 28-year-old nulligravida patient presenting pyomyoma following a spontaneous abortion at fourteen weeks and four days. Fourteen days following spontaneous miscarriage she was referred to the hospital with abdominal pain and fever. An antibiotic treatment was initiated. However, after ten days, the patient's condition deteriorated and a decision for an emergency laparotomy made. The pyomyoma was successfully resected and the patient's postoperative recovery was uneventful. A new pregnancy was confirmed two years later.


CONCLUSIONS
The diagnosis of pyomyoma can be difficult but surgical treatment is often indicated. Performing a prompt myomectomy avoids the need for hysterectomy, preserving future fertility.


CONCLUSIONS
Pregnancy is possible following uterine sparing treatment of pyomyoma.
Department of Obstetrics and Gynecology, Strasbourg Teaching Hospital, 1 Avenue Molière Strasbourg, 67098, France. Electronic address: anne.pinton@gmail.com.
Anne
A
Pinton
Department of Obstetrics and Gynecology, Strasbourg Teaching Hospital, 1 Avenue Molière Strasbourg, 67098, France. Electronic address: gabrielle.aubry@chru-strasbourg.fr.
Gabrielle
G
Aubry
Department of Obstetrics and Gynecology, Strasbourg Teaching Hospital, 1 Avenue Molière Strasbourg, 67098, France. Electronic address: veronique.thoma@chru-strasbourg.fr.
Véronique
V
Thoma
Department of Obstetrics and Gynecology, Strasbourg Teaching Hospital, 1 Avenue Molière Strasbourg, 67098, France. Electronic address: israel.nisand@chru-strasbourg.fr.
Israël
I
Nisand
Department of Obstetrics and Gynecology, Strasbourg Teaching Hospital, 1 Avenue Molière Strasbourg, 67098, France. Electronic address: cherif.youssef.azer@chru-strasbourg.fr.
Cherif Youssef
CY
Akladios
Case report; Myoma; Postabortum; Pyomyoma