Infected leiomyoma (pyomyoma)

Case contributed by David Clemo Steel
Diagnosis certain


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

Patient Data

Age: 60 years
Gender: Female

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.