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Pyomyoma
Christine O. Menias, MD; Susan M. Ascher, MD, FISMRM, FSCBT/MR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Suppurative leiomyoma, infected leiomyoma
                • Infected fibroid
            • Definitions

              • Infected leiomyoma, fibroid

            IMAGING

            • General Features

              • CT Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Del Borgo C et al: Postpartum fever in the presence of a fibroid: Sphingomonas paucimobilis sepsis associated with pyomyoma. BMC Infect Dis. 13:574, 2013
                                        2. Kobayashi F et al: Pyomayoma during pregnancy: a case report and review of the literature. J Obstet Gynaecol Res. 39(1):383-9, 2013
                                        3. Rosen ML et al: Pyomyoma after uterine artery embolization. Obstet Gynecol. 121(2 Pt 2 Suppl 1):431-3, 2013
                                        4. Shiota M et al: Uterus-sparing myomectomy for uterine pyomyoma following cesarean section. Taiwan J Obstet Gynecol. 52(1):140-1, 2013
                                        5. Sirha R et al: Postnatal pyomyoma: a diagnostic dilemma. BMJ Case Rep. 2013, 2013
                                        6. Ugurlucan FG et al: Pyomyoma after dilatation and curettage for missed abortion. Clin Exp Obstet Gynecol. 40(1):168-9, 2013
                                        7. Deshmukh SP et al: Role of MR imaging of uterine leiomyomas before and after embolization. Radiographics. 32(6):E251-81, 2012
                                        8. Pinto E et al: Conservative laparoscopic approach to a perforated pyomyoma after uterine artery embolization. J Minim Invasive Gynecol. 19(6):775-9, 2012
                                        9. Shukla PA et al: Pyomyoma after uterine artery embolization. J Vasc Interv Radiol. 23(3):423-4, 2012
                                        10. Laubach M et al: Nonsurgical treatment of pyomyoma in the postpartum period. Surg Infect (Larchmt). 12(1):65-8, 2011
                                        11. Liu HS et al: Subserosal pyomyoma in a virgin female: sonographic and computed tomographic imaging features. Ultrasound Obstet Gynecol. 37(2):247-8, 2011
                                        12. Shaaban HS et al: A case of staphylococcus lugdunensis related pyomyoma occurring after cesarean section. J Glob Infect Dis. 3(1):101-2, 2011
                                        13. Abulafia O et al: Sonographic features associated with post-uterine artery embolization pyomyoma. J Ultrasound Med. 29(5):839-42, 2010
                                        14. Chen ZH et al: Pyomyoma: a rare and life-threatening complication of uterine leiomyoma. Taiwan J Obstet Gynecol. 49(3):351-6, 2010
                                        15. Lee SR et al: Magnetic resonance imaging and positron emission tomography of a giant multiseptated pyomyoma simulating an ovarian cancer. Fertil Steril. 94(5):1900-2, 2010
                                        16. Zangeneh M et al: Pyomyoma in a premenopausal woman with fever of unknown origin. Obstet Gynecol. 116 Suppl 2:526-8, 2010
                                        17. Fletcher H et al: A woman with diabetes presenting with pyomyoma and treated with subtotal hysterectomy: a case report. J Med Case Rep. 3:7439, 2009
                                        18. Nguyen QH et al: Sonographic appearance of a postpartum pyomyoma with gas production. J Clin Ultrasound. 36(3):186-8, 2008
                                        19. Patwardhan A et al: Pyomyoma as a complication of uterine fibroids. J Obstet Gynaecol. 27(4):444-5, 2007
                                        20. Kitamura Y et al: Imaging manifestations of complications associated with uterine artery embolization. Radiographics. 25 Suppl 1:S119-32, 2005
                                        21. Mason TC et al: Postpartum pyomyoma. J Natl Med Assoc. 97(6):826-8, 2005
                                        22. Sah SP et al: Pyomyoma in a postmenopausal woman: a case report. Southeast Asian J Trop Med Public Health. 36(4):979-81, 2005
                                        23. Rajan DK et al: Risk of intrauterine infectious complications after uterine artery embolization. J Vasc Interv Radiol. 15(12):1415-21, 2004
                                        24. de Blok S et al: Fatal sepsis after uterine artery embolization with microspheres. J Vasc Interv Radiol. 14(6):779-83, 2003
                                        25. Karcaaltincaba M et al: CT of a ruptured pyomyoma. AJR Am J Roentgenol. 181(5):1375-7, 2003
                                        26. Lin YH et al: Pyomyoma after a cesarean section. Acta Obstet Gynecol Scand. 81(6):571-2, 2002
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Suppurative leiomyoma, infected leiomyoma
                                                      • Infected fibroid
                                                  • Definitions

                                                    • Infected leiomyoma, fibroid

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Del Borgo C et al: Postpartum fever in the presence of a fibroid: Sphingomonas paucimobilis sepsis associated with pyomyoma. BMC Infect Dis. 13:574, 2013
                                                                              2. Kobayashi F et al: Pyomayoma during pregnancy: a case report and review of the literature. J Obstet Gynaecol Res. 39(1):383-9, 2013
                                                                              3. Rosen ML et al: Pyomyoma after uterine artery embolization. Obstet Gynecol. 121(2 Pt 2 Suppl 1):431-3, 2013
                                                                              4. Shiota M et al: Uterus-sparing myomectomy for uterine pyomyoma following cesarean section. Taiwan J Obstet Gynecol. 52(1):140-1, 2013
                                                                              5. Sirha R et al: Postnatal pyomyoma: a diagnostic dilemma. BMJ Case Rep. 2013, 2013
                                                                              6. Ugurlucan FG et al: Pyomyoma after dilatation and curettage for missed abortion. Clin Exp Obstet Gynecol. 40(1):168-9, 2013
                                                                              7. Deshmukh SP et al: Role of MR imaging of uterine leiomyomas before and after embolization. Radiographics. 32(6):E251-81, 2012
                                                                              8. Pinto E et al: Conservative laparoscopic approach to a perforated pyomyoma after uterine artery embolization. J Minim Invasive Gynecol. 19(6):775-9, 2012
                                                                              9. Shukla PA et al: Pyomyoma after uterine artery embolization. J Vasc Interv Radiol. 23(3):423-4, 2012
                                                                              10. Laubach M et al: Nonsurgical treatment of pyomyoma in the postpartum period. Surg Infect (Larchmt). 12(1):65-8, 2011
                                                                              11. Liu HS et al: Subserosal pyomyoma in a virgin female: sonographic and computed tomographic imaging features. Ultrasound Obstet Gynecol. 37(2):247-8, 2011
                                                                              12. Shaaban HS et al: A case of staphylococcus lugdunensis related pyomyoma occurring after cesarean section. J Glob Infect Dis. 3(1):101-2, 2011
                                                                              13. Abulafia O et al: Sonographic features associated with post-uterine artery embolization pyomyoma. J Ultrasound Med. 29(5):839-42, 2010
                                                                              14. Chen ZH et al: Pyomyoma: a rare and life-threatening complication of uterine leiomyoma. Taiwan J Obstet Gynecol. 49(3):351-6, 2010
                                                                              15. Lee SR et al: Magnetic resonance imaging and positron emission tomography of a giant multiseptated pyomyoma simulating an ovarian cancer. Fertil Steril. 94(5):1900-2, 2010
                                                                              16. Zangeneh M et al: Pyomyoma in a premenopausal woman with fever of unknown origin. Obstet Gynecol. 116 Suppl 2:526-8, 2010
                                                                              17. Fletcher H et al: A woman with diabetes presenting with pyomyoma and treated with subtotal hysterectomy: a case report. J Med Case Rep. 3:7439, 2009
                                                                              18. Nguyen QH et al: Sonographic appearance of a postpartum pyomyoma with gas production. J Clin Ultrasound. 36(3):186-8, 2008
                                                                              19. Patwardhan A et al: Pyomyoma as a complication of uterine fibroids. J Obstet Gynaecol. 27(4):444-5, 2007
                                                                              20. Kitamura Y et al: Imaging manifestations of complications associated with uterine artery embolization. Radiographics. 25 Suppl 1:S119-32, 2005
                                                                              21. Mason TC et al: Postpartum pyomyoma. J Natl Med Assoc. 97(6):826-8, 2005
                                                                              22. Sah SP et al: Pyomyoma in a postmenopausal woman: a case report. Southeast Asian J Trop Med Public Health. 36(4):979-81, 2005
                                                                              23. Rajan DK et al: Risk of intrauterine infectious complications after uterine artery embolization. J Vasc Interv Radiol. 15(12):1415-21, 2004
                                                                              24. de Blok S et al: Fatal sepsis after uterine artery embolization with microspheres. J Vasc Interv Radiol. 14(6):779-83, 2003
                                                                              25. Karcaaltincaba M et al: CT of a ruptured pyomyoma. AJR Am J Roentgenol. 181(5):1375-7, 2003
                                                                              26. Lin YH et al: Pyomyoma after a cesarean section. Acta Obstet Gynecol Scand. 81(6):571-2, 2002