CR_Pyomyoma in a Young Nulliparous Woman – A Case Report

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Professor, Consultant Pathologist, American Board Certified Pathologist, Fellow College of American Pathologists. Areas of interest Fine Needle Aspiration Cytology, Cytology, Cancer, Ethics, Islam, Humanity

CR_Pyomyoma in a Young Nulliparous Woman – A Case Report

Manal Rauf and Ahmareen Khalid

Department of Pathology, Pakistan Institute of Medical Sciences, Islamabad


Pyomyoma (Acute Suppurative Leiomyoma) is a very rare complication of uterine leiomyoma and is associated with high mortality and morbidity if not promptly treated. We report a case of pyomyoma in young nulliparous woman due to ascending infection. Our patient presented with continuous abdominal pain and per vaginal bleeding. She had no previous workup up. Myomectomy was performed that revealed pyomyoma.  Pyomyoma should be suspected in a patient with leiomyoma and unexplained abdominal pain and fever.

Key Words: Acute suppurative leiomyoma, leiomyoma, pyomyoma, polypectomy, myomectomy, abscess, polymicrobial infection.


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