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Pyomyoma after abortion: Uterus conserving surgery is possible to maintain fertility. Case report

2016; Elsevier BV; Volume: 24; Linguagem: Inglês

10.1016/j.ijscr.2016.05.020

2210-2612

Anne Pinton, Gabrielle Aubry, Véronique Thoma, I. Nisand, Chérif Akladios,

Endometriosis Research and Treatment

Pyomyoma is a rare complication associated with high rates of morbidity and mortality. We report the case of a 28-year-old nulligravida patient presenting pyomyoma following a spontaneous abortion at fourteen weeks and four days. Fourteen days following spontaneous miscarriage she was referred to the hospital with abdominal pain and fever. An antibiotic treatment was initiated. However, after ten days, the patient's condition deteriorated and a decision for an emergency laparotomy made. The pyomyoma was successfully resected and the patient's postoperative recovery was uneventful. A new pregnancy was confirmed two years later. The diagnosis of pyomyoma can be difficult but surgical treatment is often indicated. Performing a prompt myomectomy avoids the need for hysterectomy, preserving future fertility. Pregnancy is possible following uterine sparing treatment of pyomyoma.