Infected leiomyoma (pyomyoma)

Case contributed by Dr David Clemo Steel

Presentation

Patient with septic presentation, fever, WBC 27,000, CRP 300. Suppurative material at cervix inspection

Patient Data

Age: 60
Gender: Female
CT

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.

Case Discussion

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.

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Case information

rID: 49179
Case created: 14th Nov 2016
Last edited: 22nd Jan 2017
System: Gynaecology
Inclusion in quiz mode: Included

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