Infected leiomyoma (pyomyoma)
Patient with septic presentation, fever, WBC 27,000, CRP 300. Suppurative material at cervix inspection
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Irregular uterine cavity with gas and fluid collection, walls that enhance with contrast. Right myometrial hypodense mass that suggests myoma. There are no lymphadenopathy visible. Left adnexal tubular hypodense lesion that sugests hydrosalpinx.
A rare condition usually seen in uterine artery embolization for treatment of leiomyomas. In this case there was no embolic treatment and this a spontaneous septic presentation.
- Mubarak, M. Y., and M. D. Noordini. "A case report of pyomyoma: radiological diagnosis of a potentially fatal complication of uterine leiomyoma." The International Medical Journal of Malaysia 7.2 (2008).
- Karcaaltincaba M, Sudakoff GS. CT of a ruptured pyomyoma. AJR. American journal of roentgenology. 181 (5): 1375-7. doi:10.2214/ajr.181.5.1811375 - Pubmed