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Pyomyoma after uterine artery embolization
Marcy L Rosen1, Matthew L Anderson, Shannon M Hawkins
1Department of Obstetrics & Gynecology, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
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.
Case:
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.
Conclusion:
Surgical management of pyomyoma may be necessary early in the management of pyomyoma after uterine artery embolization.
Insights
Pyomyoma, a rare uterine infection, can occur after uterine artery embolization. Prompt surgical intervention is crucial for managing this serious complication.
Area of Science:
- Gynecology
- Reproductive Medicine
- Surgical Pathology
Background:
- Pyomyoma, or suppurative leiomyoma, is a rare uterine condition caused by leiomyoma infarction and infection.
- This condition can lead to sepsis and mortality if not promptly treated with antibiotics and surgery.
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