Total Laparoscopic Hysterectomy of an Endocervical Pyomyoma Over Previous Cesarean Section Wound

Gynecology and Minimally Invasive Therapy
Phornsawan WasinghonSiew-Yen Lai

Abstract

A 41-year-old female, G2P2, who experienced menorrhagia for 1 month, had had a history of myoma uteri for the previous 5 years. The computed tomography showed a leiomyoma mass of approximately 8 cm. She underwent a total laparoscopic hysterectomy with bilateral salpingectomy. This pyomyoma originated in the endocervix over the cesarean section wound. The postoperative care was uneventful. Pyomyoma is a rare condition and is even rarer in premenopausal patients without a history of pregnancy or uterine instrumentation. The spontaneous pyomyoma at the endocervical leiomyoma demonstrated an unusual case in the absence of risk factors. Pyomyoma could be considered as a diagnosis in patients without fever, history of fibroids, and no other identifiable sources of infection.

References

Feb 25, 2000·The Australian & New Zealand Journal of Obstetrics & Gynaecology·B GuptaS Malhotra
Oct 24, 2003·AJR. American Journal of Roentgenology·Musturay Karcaaltincaba, Gary S Sudakoff
Nov 9, 2010·Taiwanese Journal of Obstetrics & Gynecology·Zoe Hui-Ying ChenMou-Jong Sun
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Jun 9, 2016·International Journal of Surgery Case Reports·Anne PintonCherif Youssef Akladios
Jul 31, 2018·Case Reports in Obstetrics and Gynecology·S Read, J Mullins

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Methods Mentioned

BETA
cesarean section
hysterectomy

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