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Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 36-39

Septic uterine myoma: A case report

1 Departments of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Nigeria
2 Departments of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria
3 Departments of Obstetrics and Gynaecology, Shehu Mohammed Kangiwa Medical Center, Kaduna, Nigeria

Correspondence Address:
A O Ojabo
Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi - 970 001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.153155

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Pyomyoma (suppurative leiomyoma) is a rare disease that can result in very serious complications. Though most cases have occurred in pregnant or postmenopausal women with a predisposing factor, we present a case that apparently presented spontaneously. A young nulligravid woman presented with a history of abdominal pain and swelling of 2 weeks duration which became worse despite use of potent broad-spectrum antibiotics. She had no fever or predisposing factors, but had history of leiomyoma. Ultrasonographic scan showed an enlarged uterus with a solitary large mass. Internal heterogeneous echogenicity was noted within the mass in the anterior wall of the body of the uterus. With a clinical impression of degenerated leiomyoma, she underwent abdominal myomectomy. However, intraoperative findings showed a leiomyoma with abscess formation. The postoperative course was uneventful. Pyomyoma is rare and may be difficult to diagnose clinically, especially in women with a nonspecific clinical presentation. A strong clinical suspicion and prompt surgical intervention with the use of broad-spectrum antibiotics can be lifesaving.

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