Department of Obstetrics & Gynecology, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Obstet Gynecol. 2013 Feb;121(2 Pt 2 Suppl 1):431-3. doi: 10.1097/aog.0b013e31827e8e8f.
Pyomyoma (suppurative leiomyoma of the uterus) is a rare condition resulting from infarction and infection of a leiomyoma. It can lead to sepsis and death unless treated with antibiotics and aggressive surgical intervention.
A 47-year-old multigravid woman with symptomatic uterine leiomyomas presented with fever, pelvic pain, and leukocytosis after uncomplicated uterine artery embolization. Pyomyoma was suspected after computed tomography scan demonstrated an enlarged, heterogeneous uterus containing copious myometrial air. She underwent supracervical hysterectomy, lysis of adhesions, and right salpingo-oophorectomy.
Surgical management of pyomyoma may be necessary early in the management of pyomyoma after uterine artery embolization.
化脓性子宫肌瘤（子宫的化脓性平滑肌瘤）是一种罕见的病症，由平滑肌瘤的梗死和感染引起。如果不使用抗生素和积极的手术干预，它可能导致脓毒症和死亡。
一位 47 岁的多产妇，患有有症状的子宫肌瘤，在子宫动脉栓塞术后出现发热、盆腔痛和白细胞增多。在 CT 扫描显示子宫增大、不均匀，含有大量子宫肌层气后，怀疑为化脓性子宫肌瘤。她接受了经宫颈子宫切除术、粘连松解术和右侧输卵管卵巢切除术。
在子宫动脉栓塞后化脓性子宫肌瘤的治疗中，早期进行手术治疗可能是必要的。
