Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report
Pyomyoma, a rare complication of leiomyoma, presents a unique clinical challenge due to its infrequency with potentially fatal complications. Herein, we report the case of a 44-year-old Para 3+1 woman with red degeneration of uterine fibroids during pregnancy, who experienced worsening abdominal pai...
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| Format: | Article |
| Language: | English |
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Elsevier
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/113749/ http://psasir.upm.edu.my/id/eprint/113749/1/113749.pdf |
| _version_ | 1848866311611875328 |
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| author | Soo, Tze Hui Subramaniam, Mogana Chai, Woon Kian Ee, Wei Sheun |
| author_facet | Soo, Tze Hui Subramaniam, Mogana Chai, Woon Kian Ee, Wei Sheun |
| author_sort | Soo, Tze Hui |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Pyomyoma, a rare complication of leiomyoma, presents a unique clinical challenge due to its infrequency with potentially fatal complications. Herein, we report the case of a 44-year-old Para 3+1 woman with red degeneration of uterine fibroids during pregnancy, who experienced worsening abdominal pain and foul smelling vaginal discharge 1 week post Caesarean section. Despite hemodynamic stability, her septic markers were markedly raised. A bedside ultrasound noted a pelvic complex cystic collection, further confirmed on CT scan as spontaneous ruptured of pyomyoma complicated by complex fistulas with surrounding organs. She underwent total abdominal hysterectomy and abdominal washout the next day, with intravenous antibiotic on-board. Histology examination confirmed acute suppurative inflammation of the uterine fibroid with endometritis. This case report contributes to the existing medical literature by shedding light on a rare and potentially life-threatening leiomyoma complication. Its potential to mimic acute puerperal endometritis, makes its diagnosis especially challenging, necessitating a high index of suspicion. © 2024 |
| first_indexed | 2025-11-15T14:18:35Z |
| format | Article |
| id | upm-113749 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:18:35Z |
| publishDate | 2024 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1137492025-01-14T08:05:38Z http://psasir.upm.edu.my/id/eprint/113749/ Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report Soo, Tze Hui Subramaniam, Mogana Chai, Woon Kian Ee, Wei Sheun Pyomyoma, a rare complication of leiomyoma, presents a unique clinical challenge due to its infrequency with potentially fatal complications. Herein, we report the case of a 44-year-old Para 3+1 woman with red degeneration of uterine fibroids during pregnancy, who experienced worsening abdominal pain and foul smelling vaginal discharge 1 week post Caesarean section. Despite hemodynamic stability, her septic markers were markedly raised. A bedside ultrasound noted a pelvic complex cystic collection, further confirmed on CT scan as spontaneous ruptured of pyomyoma complicated by complex fistulas with surrounding organs. She underwent total abdominal hysterectomy and abdominal washout the next day, with intravenous antibiotic on-board. Histology examination confirmed acute suppurative inflammation of the uterine fibroid with endometritis. This case report contributes to the existing medical literature by shedding light on a rare and potentially life-threatening leiomyoma complication. Its potential to mimic acute puerperal endometritis, makes its diagnosis especially challenging, necessitating a high index of suspicion. © 2024 Elsevier 2024 Article PeerReviewed text en cc_by_nc_nd_4 http://psasir.upm.edu.my/id/eprint/113749/1/113749.pdf Soo, Tze Hui and Subramaniam, Mogana and Chai, Woon Kian and Ee, Wei Sheun (2024) Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report. Radiology Case Reports, 19 (10). pp. 4464-4468. ISSN 1930-0433; eISSN: 1930-0433 https://linkinghub.elsevier.com/retrieve/pii/S1930043324006320 10.1016/j.radcr.2024.07.044 |
| spellingShingle | Soo, Tze Hui Subramaniam, Mogana Chai, Woon Kian Ee, Wei Sheun Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report |
| title | Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report |
| title_full | Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report |
| title_fullStr | Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report |
| title_full_unstemmed | Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report |
| title_short | Spontaneous ruptured pyomyoma: A rare yet critical postpartum complication: A case report |
| title_sort | spontaneous ruptured pyomyoma: a rare yet critical postpartum complication: a case report |
| url | http://psasir.upm.edu.my/id/eprint/113749/ http://psasir.upm.edu.my/id/eprint/113749/ http://psasir.upm.edu.my/id/eprint/113749/ http://psasir.upm.edu.my/id/eprint/113749/1/113749.pdf |