An unusual cause of postabortal fever requiring prompt surgical intervention : a pyomyoma
and its imaging features.
Postpartum fever in the presence of a fibroid: Sphingomonas paucimobilis sepsis associated with pyomyoma
. BMC Infect Dis.
Pyomyoma, or suppurative leiomyoma, is a rare condition that occurs with infection of a leiomyoma.
Diagnosis of pyomyoma is difficult, as it is a relatively rare condition and may develop over an extended period of time .
Due to the nonspecific presentation of pyomyoma, initiation of appropriate treatment is frequently delayed .
The pyomyoma may demonstrate a "capsule" on imaging, which on pathology appears as a flattened layer of smooth muscle cells .
Repeated Trigrams: ASSASSIN, BARBARIC, CINCINNATE, DUMDUM, ENTENTE, FURFUR, GARGARISE, CHIHUAHUA, RINGING, JIG JIG, KINKING, LOGLOG, MURMUR, NONSENSE, ONIONING, PURPURIN, QUAQUAVERSAL, VERATRATE, ASSESSED, TINTING, HUBBUBBED, VALVAL, WOWWOW, PYOMYOMA
Additionally, a single report describes a case of fatal sepsis related to pyomyoma
; however, this infection was not following any surgical intervention or instrumentation of the uterus.
(1) However, an infected leiomyoma containing pus (termed a pyomyoma) is extremely rare and has high morbidity and mortality.
A pyomyoma develops due to infection in necrotic foci within a leiomyoma.
(2) Presence of air on CT scan is a characteristic of pyomyoma or gossypiboma.
A serious complication of a pyomyoma is its spontaneous rupture, which presents as an acute abdomen with septicemic shock.