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Federación Mexicana de Ginecología y Obstetricia, A.C.

2019, Number 07

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Ginecol Obstet Mex 2019; 87 (07)

Pyomyoma in puerperium: a case report

Pazos-Rey L, Puertas-Peña C, Rueda-Sepúlveda M, Jiménez-Mendiguchía B, Ramos-Balbona B, Ferrer-Barriendos FJ

Language: Spanish
References: 9
Page: 483-488
PDF size: 315.55 Kb.


ABSTRACT

Background: During pregnancy the incidence of myoma is from 2-10%. It is known that 1 of 10 cases will have problems related to the myoma (pain, pregnancy loss increased risk, preterm birth, anomal fetal position)
Clinical Case: 30-year-old primiparous patient, with puerperal sepsis due to piomyoma, with low-grade fever as the only clinical manifestation. The diagnosis of piomyoma was established after ruling out other causes of fever in the puerperium and was confirmed with transvaginal ultrasound and computed tomography. The treatment consisted of hysterectomy and antibiotic therapy, with favorable later evolution.
Conclusions: The piomyoma is an exceptional alteration during the pregnancy. The high mortality reflects the need for early diagnosis, in order to initiate antibiotic therapy and subsequent surgical intervention


REFERENCES

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