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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 263518, 2 pages
http://dx.doi.org/10.1155/2015/263518
Case Report

Pyomyoma as a Rare Source of Postpartum Sepsis

Midlands Regional Hospital, Portlaoise, Co. Laois, Ireland

Received 27 May 2015; Accepted 13 July 2015

Academic Editor: Julio Rosa-e-Silva

Copyright © 2015 A. DeMaio and M. Doyle. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pyomyoma, also known as suppurative leiomyoma, is a rare clinical complication that occurs when a leiomyoma undergoes infarction and subsequent infection. A high index of suspicion is required to make the diagnosis and can be guided by a classic triad of symptoms that includes abdominal pain, sepsis without an obvious source, and a history of leiomyoma. In the vast majority of these cases, total abdominal hysterectomy is required to avoid severe morbidity and potential mortality. We present an unusual case of a postpartum pyomyoma that was successfully treated without the need for hysterectomy. With strong clinical suspicion, early diagnosis, and appropriate management, some affected patients may preserve fertility.