Pyomyoma after uterine instrumentation: A case report

Daniel H. Tobias, Mordecai Koenigsberg, Melanie Kogan, Morris Edelman, Michael LevGur

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

BACKGROUND: Since 1945, only 10 cases of pyomyoma have been described in the literature. Four were related to pregnancy but none to elective abortion or uterine instrumentation. CASE: A 32-year-old woman was admitted to the hospital with a history of lower abdominal pain, nausea, vomiting and low grade fever with a past medical history significant for uterine leiomyomata and a second-trimester elective abortion 10 weeks prior to admission. Pelvic sonography demonstrated an enlarged uterus with a mass consisting of cystic and solid components. Uterine curettage revealed blood clots and scanty endometrial tissue. After no improvement following antibiotic therapy and nondiagnostic uterine curettage, an exploratory laparotomy was performed. It revealed peritonitis with multiple pyomyomas draining purulent material. CONCLUSION: Although rarely reported, pyomyoma should be considered in the setting of a recent history of uterine instrumentation, signs of infection and a uterine myoma.

Original languageEnglish (US)
Pages (from-to)375-378
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume41
Issue number5
StatePublished - May 1 1996
Externally publishedYes

Fingerprint

Curettage
Myoma
Leiomyoma
Second Pregnancy Trimester
Peritonitis
Laparotomy
Nausea
Abdominal Pain
Uterus
Vomiting
Ultrasonography
Thrombosis
Fever
Anti-Bacterial Agents
Pregnancy
Infection
Therapeutics

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Tobias, Daniel H. ; Koenigsberg, Mordecai ; Kogan, Melanie ; Edelman, Morris ; LevGur, Michael. / Pyomyoma after uterine instrumentation : A case report. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1996 ; Vol. 41, No. 5. pp. 375-378.
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Tobias, DH, Koenigsberg, M, Kogan, M, Edelman, M & LevGur, M 1996, 'Pyomyoma after uterine instrumentation: A case report', Journal of Reproductive Medicine for the Obstetrician and Gynecologist, vol. 41, no. 5, pp. 375-378.

Pyomyoma after uterine instrumentation : A case report. / Tobias, Daniel H.; Koenigsberg, Mordecai; Kogan, Melanie; Edelman, Morris; LevGur, Michael.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 41, No. 5, 01.05.1996, p. 375-378.

Research output: Contribution to journalArticle

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AB - BACKGROUND: Since 1945, only 10 cases of pyomyoma have been described in the literature. Four were related to pregnancy but none to elective abortion or uterine instrumentation. CASE: A 32-year-old woman was admitted to the hospital with a history of lower abdominal pain, nausea, vomiting and low grade fever with a past medical history significant for uterine leiomyomata and a second-trimester elective abortion 10 weeks prior to admission. Pelvic sonography demonstrated an enlarged uterus with a mass consisting of cystic and solid components. Uterine curettage revealed blood clots and scanty endometrial tissue. After no improvement following antibiotic therapy and nondiagnostic uterine curettage, an exploratory laparotomy was performed. It revealed peritonitis with multiple pyomyomas draining purulent material. CONCLUSION: Although rarely reported, pyomyoma should be considered in the setting of a recent history of uterine instrumentation, signs of infection and a uterine myoma.

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