An intriguing case of acute abdomen secondary to ruptured pyomyoma: A case report

Abstract

Pyomyoma by definition is a suppurative leiomyoma, as a result of infection of infarcted leiomyoma. Pyomyoma is a gynecological emergency as it can further lead to sepsis and peritonitis resulting in high morbidity and mortality. A high index of clinical suspicion is crucial in the diagnosis, and prompt treatment in the initial stage is recommended to reduce mortality. Ultrasound, computed tomography, and magnetic resonance provide diagnostic clues. We present a case of a 44-year-old woman who presented with an acute abdomen due to a spontaneous rupture of pyomyoma. The patient was treated with total abdominal hysterectomy and salpingooophorectomy along with peritoneal irrigation and drainage.