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Pyomyoma in a primigravida at term: a case report

Pyomyoma in a primigravida at term: a case report

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Pyomyoma is a rare complication of uterine fibroid occurring most commonly in pregnancy, post-partum, post-abortion, and post-menopausal periods. It results from infarction, necrosis and secondary infection of leiomyoma. We report a case of 29-year-old primigravida with breech at term co-existing with cystic degenerative uterine fibroid, who presented with recurrent fever and abdominal pain.

Follow-up and outcome of interventions: she had two satisfactory postnatal clinic visits and she had no complaints. Histology report showed a degenerating leiomyoma with areas of cystic degeneration, necrosis, foci of suppuration and inflammatory cells infiltrations. There was no neoplastic changes. She was counselled on the possibility of recurrence.