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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 2  |  Page : 101-103

Total laparoscopic hysterectomy of an endocervical pyomyoma over previous cesarean section wound


1 Department of Obstetrics and Gynecology, Buddhachinnaraj Hospital, Phitsanulok, Thailand; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan
2 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital; Chang Gung University College of Medicine, Taoyuan, Taiwan
3 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Taiwan

Correspondence Address:
Dr. Kuan- Gen Huang
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, No. 5, Fuxing Street, Kweishan, Taoyuan 333
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GMIT.GMIT_103_18

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A 41-year-old female, G2P2, who experienced menorrhagia for 1 month, had had a history of myoma uteri for the previous 5 years. The computed tomography showed a leiomyoma mass of approximately 8 cm. She underwent a total laparoscopic hysterectomy with bilateral salpingectomy. This pyomyoma originated in the endocervix over the cesarean section wound. The postoperative care was uneventful. Pyomyoma is a rare condition and is even rarer in premenopausal patients without a history of pregnancy or uterine instrumentation. The spontaneous pyomyoma at the endocervical leiomyoma demonstrated an unusual case in the absence of risk factors. Pyomyoma could be considered as a diagnosis in patients without fever, history of fibroids, and no other identifiable sources of infection.


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