{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:48:41Z","timestamp":1769158121368,"version":"3.49.0"},"reference-count":7,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,9]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Pyomyoma, a rare complication of a myoma undergoing infarction and subsequent infection, may be a diagnostic challenge in patients with unexplained puerperal fever. A woman in her 30s presented with fever and foul-smelling discharge per vaginum, 6 months after her first caesarean section (CS). She underwent an elective CS for symptomatic placenta praevia at 34 weeks of gestation. Intra-operatively, post-partum haemorrhage was managed with uterotonics and blood transfusions. However, 2\u2009weeks later, she developed a high-grade fever that was non-responsive to parenteral antibiotics. She continued to have intermittent episodes of high-grade fever, which were treated on an outpatient basis. Six months later, she developed purulent vaginal discharge, which grew <jats:italic>Escherichia coli<\/jats:italic> on bacterial culture. She received intravenous antibiotics and blood. Radiology confirmed the presence of a large fibroid with a focal capsular breach and peripherally enhanced collection extending to the endometrial cavity. The patient subsequently underwent a myomectomy. Intra-operatively, a large fundal myoma with endometrial breach and purulent discharge in the fibroid and endometrial cavity was noted. She sustained the procedure well and recovered uneventfully.<\/jats:p>","DOI":"10.1136\/bcr-2023-257190","type":"journal-article","created":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T02:55:16Z","timestamp":1711162516000},"page":"e257190","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pyomyoma after caesarean section: a rare entity"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5076-6686","authenticated-orcid":false,"given":"Sujata","family":"Siwatch","sequence":"first","affiliation":[{"name":"Obstetrics & Gynaecology, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashmi","family":"Bagga","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulika","family":"Singh","sequence":"additional","affiliation":[{"name":"Radiodiagnosis & Imaging, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6462-6501","authenticated-orcid":false,"given":"Gaurav","family":"Khastgir","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"2025082703205812000_17.3.e257190.1","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2021.e00372","article-title":"Pyomyoma mimicking Tubo-ovarian abscess: two case reports","volume":"33","author":"Oshina","year":"2022","journal-title":"Case Rep Womens Health"},{"key":"2025082703205812000_17.3.e257190.2","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.ejrnm.2014.05.014","article-title":"Ascending infection causing Pyomyoma in a young woman","volume":"45","author":"Gupta","year":"2014","journal-title":"The Egyptian Journal of Radiology and Nuclear Medicine"},{"key":"2025082703205812000_17.3.e257190.3","first-page":"826","article-title":"Postpartum Pyomyoma","volume":"97","author":"Mason","year":"2005","journal-title":"J Natl Med Assoc"},{"key":"2025082703205812000_17.3.e257190.4","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2334-13-574","article-title":"Postpartum fever in the presence of a Fibroid: Sphingomonaspaucimobilis sepsis associated with Pyomyoma","volume":"13","author":"Del Borgo","year":"2013","journal-title":"BMC Infect Dis"},{"key":"2025082703205812000_17.3.e257190.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2022.e00405","article-title":"Uterus-preserving management of Pyomyoma: case report of a rare complication after uterine artery Embolization","volume":"34","author":"Busshoff","year":"2022","journal-title":"Case Rep Womens Health"},{"key":"2025082703205812000_17.3.e257190.6","doi-asserted-by":"crossref","DOI":"10.25259\/JCIS_188_2021","article-title":"Ruptured Pyomyoma - rare complication of post-uterine artery Embolization: A case report","volume":"11","author":"Vulasala","year":"2021","journal-title":"J Clin Imaging Sci"},{"key":"2025082703205812000_17.3.e257190.7","first-page":"1054","article-title":"Pyomyoma: case report and comprehensive literature review of 75 cases since 1945","volume":"3","author":"Azimi-Ghomi","year":"2017","journal-title":"SM J Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257190","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:21:04Z","timestamp":1756290064000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257190"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3,22]]},"published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1136\/bcr-2023-257190"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257190","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}