{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:03:25Z","timestamp":1762506205365,"version":"3.40.4"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Pyomyoma is a rare, yet potentially fatal complication of uterine leiomyoma. Clinically difficult to diagnose as a result of non-specific symptoms, its presentation is commonly confused with fibroid degeneration. Late diagnosis has severe implications, with the mortality of the condition remaining high. Despite the availability of powerful antibiotics, surgical intervention is frequently required for the curative treatment of the critically ill patient. Here, we report a case of postpartum pyomyoma developing after a complicated antenatal course of placenta praevia resulting in recurrent antepartum haemorrhage, preterm prelabour rupture of membranes and eventual emergency caesarean section for cord prolapse. We highlight the diagnostic difficulty and delay in definitive surgical intervention. Using this case, we have emphasised the importance of strong clinical suspicion when faced with a triad of pain, sepsis without an obvious source and a known diagnosis of leiomyoma to prevent fatalities.<\/jats:p>","DOI":"10.1136\/bcr-2013-201137","type":"journal-article","created":{"date-parts":[[2013,10,31]],"date-time":"2013-10-31T09:44:09Z","timestamp":1383212649000},"page":"bcr2013201137","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Postnatal pyomyoma: a diagnostic dilemma"],"prefix":"10.1136","volume":"2013","author":[{"given":"Ravneet","family":"Sirha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditi","family":"Miskin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amin","family":"Abdelmagied","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,10,31]]},"reference":[{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1097\/00007611-200105000-00014","article-title":"Strep agalactiae endocarditis and giant pyomyoma simulating ovarian cancer","volume":"2013","author":"Genta","year":"2001","journal-title":"South Med J"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.2","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/00006254-199009000-00001","article-title":"Pyomyoma associated with polymicrobial bacteraemia and fatal septic shock: case report and review of the literature","volume":"2013","author":"Greenspoon","year":"1990","journal-title":"Obstet Gynecol Surv"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.3","unstructured":"Cunningham CF Grant N Leveno K . Williams obstetrics. 21st edn. New York: McGraw-Hill, 2001:927."},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.4","first-page":"764","article-title":"Complications in pregnancy, labour and delivery with uterine leiomyomas: a population-based study","volume":"2013","author":"Coronado","year":"2000","journal-title":"Obstet Gynecol"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.5","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1016\/S0002-9378(16)40141-9","article-title":"Suppurating fibromyomas: report of case with a review of literature","volume":"2013","author":"Miller","year":"1945","journal-title":"Am J Obstet Gynecol"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.6","first-page":"593","article-title":"Intrapartum rupture of a suppurative myoma, with purulent peritonitis: report of a case","volume":"2013","author":"Ruch","year":"1963","journal-title":"Obstet Gynecol"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.7","first-page":"444","article-title":"Pyomyoma as a complication of uterine fibroids","volume":"2013","author":"Patwardhan","year":"2007","journal-title":"J Obstet Gynaecol"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.8","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/S1701-2163(16)34176-7","article-title":"Role of dynamic MRI in surgical decision-making for postpartum woman with a prolapsed degenerating uterine leiomyoma","volume":"2013","author":"Torrance","year":"2009","journal-title":"J Obstet Gynaecol Can"},{"key":"2025042709340384000_2013.oct31_1.bcr2013201137.9","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1089\/sur.2009.081","article-title":"Non surgical treatment of pyomyoma in the postpartum period","volume":"2013","author":"Laubach","year":"2011","journal-title":"Surg Infect"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-201137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:34:08Z","timestamp":1745771648000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-201137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,31]]},"references-count":9,"alternative-id":["10.1136\/bcr-2013-201137"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-201137","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,10,31]]}}}