IMR Press / CEOG / Volume 45 / Issue 4 / DOI: 10.12891/ceog4293.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report

Postpartum pyomyoma caused by Clostridium Ramosum: a case report

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1 Department of Obstetrics and Gynecology, National Guard Hospital, Jeddah, Saudi Arabia
Clin. Exp. Obstet. Gynecol. 2018, 45(4), 636–640; https://doi.org/10.12891/ceog4293.2018
Published: 10 August 2018
Abstract

Background: Uterine fibroid is the most common benign pelvic tumor in women. Pyomyoma is a rare complication of uterine fibroid and potentially fatal if not treated with antibiotics and surgical intervention. Case Report: Initially the patient presented with heavy vaginal bleeding and fever, temperature of 38℃, pulse of 125 per minute. Ultrasound (US) revealed a large intramural fibroid measuring (11.8×11.2 cm). A CT revealed gas within the fibroid and pyomyoma was the most likely diagnosis. The patient was successfully treated with antibiotics and myomectomy. Microbiology results demonstrate clostridium ramosum as the causative organism conforming rare diagnosis of pyomyoma. Conclusion: Pyomyoma is rare but potentially fatal condition if not treated. It is usually associated with super-added infection. The most prominent symptom of the condition is fever with no obvious origin. Fever which is not responding to antibiotic is also an evident feature of pyomyoma. Although rare, it must be a differential diagnosis in postpartum women who present with pyrexia of unknown origin.
Keywords
Pyomyoma
Leiomyoma
Myomectomy
Clostridium ramosum
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