Postpartum pyomyoma: A rare complication of leiomyoma

Magro, Miriam Graziele; Gafson, Irene

doi:10.3109/01443615.2013.844109

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…Most cases of pyomyoma reported in the gynecological literature arise spontaneously, postpartum, or postsurgical. The route of postpartum gynecologic infection is often an ascending infection from the genital tract [ 8 ]. After UAE, the route of infection often includes direct spread from the endometrial cavity, spread from adjacent structures such as the adnexae or the bowel, and hematogenous or lymphatic spread [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prompt diagnosis is essential as pyomyoma can lead to serious complications such as myometrial rupture, sepsis, and death. Hysterectomy or myomectomy is the treatment of choice for pyomyoma, although there have been several reports of more conservative surgical drainage [ 6 , 8 ], including a case of nonsurgical management of clostridial pyomyoma [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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A Case of Pyomyoma following Uterine Fibroid Embolization and a Review of the Literature

Obele

Dunham

Bennett

et al. 2016

Case Reports in Obstetrics and Gynecology

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Background. Since its introduction in 1996, uterine fibroid embolization (UFE) has become standard medical practice in the management of symptomatic uterine fibroids. An extremely rare complication, pyomyoma, has been reported only 5 times previously in the literature following UFE. Case. A 37-year-old woman underwent UFE for symptomatic leiomyomas of the uterus. Signs and symptoms of uterine infection ensued, beginning at 6 days following the procedure. Recurrent fevers and increasing leukocytosis despite the intravenous administration of appropriate antibiotics eventually necessitated surgical intervention on postprocedure day #18. Conclusion. An extremely rare complication of UFE is herein presented, pyomyoma, with a review of other reported cases. Commonalities are sought among these few reported cases with the hope of increasing diagnostic acumen in the detection of this disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case of Pyomyoma following Uterine Fibroid Embolization and a Review of the Literature

Obele

Dunham

Bennett

et al. 2016

Case Reports in Obstetrics and Gynecology

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“…The transmission route postpartum is usually ascending infection, which will lead to the colonization of necrotic tissue. However, it can also spread from the uterine cavity or any adjacent structures or by distant hematogenous/lymphatic spread [4,[11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Prolapsed submucosal pyomyoma postpartum, a rare complication of fibroids

Wang

Sun

2021

BMC Pregnancy Childbirth

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Background Pyomyoma is an unusual fibroid that usually develops during the puerperal or postmenopausal period. If not promptly diagnosed and treated, it can become life threatening. Although various conservative and surgical therapies have been discussed in the literature for this condition, there are very few reports related to the management of prolapsed pedunculated submucosal myoma. Case presentation In this case report, an intramural fibroid transformed into a pedunculated submucosal pyomyoma, which prolapsed into the vagina after a miscarriage and caused life-threatening toxic shock. Apart from prompt antibiotic treatment, a transabdominal myomectomy rather than hysterectomy was performed due to the very large diameter of the pyomyoma. As a result, fertility was preserved, and the patient conceived naturally and delivered a healthy baby two years later. Discussion and conclusions It is important to maintain strong clinical suspicion for pregnant or postpartum women with a triad of pain, sepsis without an obvious source and a known diagnosis of leiomyoma. Timely recognition and prompt surgical treatment with antibiotics are necessary and could conserve the uterus for future fertility.

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“…Pyomyomas manifest with high body temperature, although in some cases, strong abdominal pain may occur. They are treated surgically with the application of broad spectrum antibiotics [30].…”

Section: Komplikacije Mioma U Puerperijumumentioning

confidence: 99%

“…Piomiomi se manifestuju visokom temperaturom, mada se u nekim slučajevima može javiti i jak bol u abdomenu. Leče se hirurški uz primenu antibiotika širokog spektra [30].…”

Section: Conflict Of Interest: None Declaredunclassified

Perinatal complications of pregnancies complicated by uterine fibroids

Sparić¹,

Tomašević²

2021

Srpski medicinski časopis Lekarske komore

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Fibroids (myomas) are the most common tumors of the female reproductive organs, consisting of smooth muscle cells, fibroblasts, and extracellular matrix. They develop from menarche to menopause. They are diagnosed in 10-20% women of reproductive age. Their size varies from barely visible nodules to large tumors. Change in the size of fibroids during pregnancy and after childbirth is the subject of numerous studies. Most studies indicate a significant increase in the size of fibroids during the first trimester, unchanged size during the second and the third trimester, and a decrease in their size after the delivery. The effect of fibroids on pregnancy depends on their number, location, and size. Myomas are associated with numerous perinatal complications: bleeding in pregnancy, miscarriages, pain due to red degeneration, preterm birth, placental abruption, placenta previa, intrauterine growth restriction, fetal malpresentation, prolonged labor, increased cesarean section rate, uterine atony, and postpartum hemorrhage. Treatment of fibroids in pregnancy includes bed rest and follow-up with symp-tomatic therapy in case of pain, as well as intensive monitoring of the fetus. Very rarely, myomectomy may be necessary during pregnancy. Myomectomy during cesarean section has been considered contraindicated for years. Recent research demonstrates that this procedure may not be associated with an increased risk of perioperative complications. Its advantages include performing two operations within one surgical procedure while avoiding the risks of repeated laparotomy and anesthesia. The most common postpartum complications of fibroids are bleeding and infection.

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Postpartum pyomyoma: A rare complication of leiomyoma

Cited by 9 publications

References 8 publications

A Case of Pyomyoma following Uterine Fibroid Embolization and a Review of the Literature

A Case of Pyomyoma following Uterine Fibroid Embolization and a Review of the Literature

Prolapsed submucosal pyomyoma postpartum, a rare complication of fibroids

Perinatal complications of pregnancies complicated by uterine fibroids

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