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Published on: January 17, 2019
Navigating Pyomyoma in Pregnancy and Postpartum: A Systematic Review.
Saboohi Tariq1, Parijot Kumar2, Conor Harrity3
1Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland; Department of Obstetrics and Gynaecology, Connolly Hospital, Dublin, Ireland.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|February 20, 2025
Summary
Pyomyoma, a uterine infection, often presents with fever and pain in pregnant or postpartum women. Myomectomy is preferred over hysterectomy to preserve fertility, despite surgical risks.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Surgical Management
Background:
- Pyomyoma, a rare uterine infection, poses significant risks during pregnancy and postpartum.
- Understanding its varied presentations and optimal treatment is crucial for maternal health.
Purpose of the Study:
- To systematically review pyomyoma presentations in pregnant and postpartum populations.
- To analyze and compare treatment modalities for pyomyoma in these cohorts.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Comprehensive literature search across major databases (PubMed, Scopus, Embase, Google Scholar) from 1945 to October 2024.
- Inclusion of 43 cases from 40 eligible articles based on diagnostic and treatment data.
Main Results:
- Fever (79%) and abdominal pain (77%) were the most common symptoms.
- Escherichia coli (E-Coli) was the predominant causative organism (23%).
- Myomectomy was performed in 56% of cases, hysterectomy in 30%, and conservative management in 14%.
Conclusions:
- Surgical intervention for pyomyoma generally offers greater benefits than risks due to associated morbidity.
- Myomectomy is the preferred surgical approach over hysterectomy in pregnant and postpartum women to preserve fertility.
