Wasinghon Phornsawan, Huang Kuan-Gen, Lai Siew-Yen
Department of Obstetrics and Gynecology, Buddhachinnaraj Hospital, Phitsanulok, Thailand.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Gynecol Minim Invasive Ther. 2020 Apr 28;9(2):101-103. doi: 10.4103/GMIT.GMIT_103_18. eCollection 2020 Apr-Jun.
A 41-year-old female, GP, 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.
一名41岁的女性全科医生，月经过多1个月，既往有5年子宫肌瘤病史。计算机断层扫描显示一个约8厘米的平滑肌瘤肿块。她接受了全腹腔镜子宫切除术及双侧输卵管切除术。这个脓性子宫肌瘤起源于剖宫产伤口上方的子宫颈。术后护理顺利。脓性子宫肌瘤是一种罕见的疾病，在没有妊娠或子宫器械操作史的绝经前患者中更为罕见。宫颈平滑肌瘤处的自发性脓性子宫肌瘤在没有危险因素的情况下表现为一个不寻常的病例。对于没有发热、肌瘤病史且没有其他可识别感染源的患者，可考虑诊断为脓性子宫肌瘤。
