Document Detail

Conservative laparoscopic approach to a perforated pyomyoma after uterine artery embolization.
MedLine Citation:
PMID:  23084686     Owner:  NLM     Status:  In-Data-Review    
We describe a conservative laparoscopic approach to treatment of a perforated pyomyoma after uterine artery embolization. A 36-year-old woman came to our emergency department 8 weeks after undergoing uterine artery embolization. She reported painful abdominal cramps. Physical examination revealed fever, tachycardia, hypotension, abdominal pain with rebound tenderness and pain during bimanual examination. Ultrasonography showed a fundal/subserosal leiomyoma and a moderate amount of fluid in the abdominal cavity. Because the patient desired preservation of the uterus, a laparoscopic approach was used for drainage and lavage of a perforated pyomyoma. The patient had an uneventful recovery and remained well at follow-up visits. Second-look diagnostic laparoscopy enabled treatment of the adhesions formed and revealed patent fallopian tubes. Surgery has been the primary approach to pyomyoma. However, hysterectomy leads to irreversible sterility and myomectomy can be difficult to perform. Therefore, there is need for a less invasive intervention in women who seek conservative treatment. Recently, computed tomography-guided drainage was successfully performed in two patients with pyomyoma. To our knowledge, this is the first report of a successful conservative laparoscopic approach to pyomyoma.
Evelin Pinto; Artur Trovão; Susana Leitão; Carla Pina; Foo Kok Mak; António Lanhoso
Related Documents :
1891226 - Median lip fissure: etiology and suggested treatment.
23689966 - Outcomes after surgery for central neurocytoma: results of a french multicentre retrosp...
23925026 - An intestinal occlusion device for prevention of small bowel distention during transgas...
23513146 - Minimally invasive discectomy versus microdiscectomy/ discectomy for symptomatic lumbar...
22562086 - Endovascular embolization of prominent intercavernous sinuses for successful transsphen...
17963006 - Failure to recognize multiple endocrine neoplasia 2b: more common than we think?
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  19     ISSN:  1553-4669     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  775-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.
Department of Gynecology, Vila Nova de Gaia/Espinho Hospital Center, Vila Nova de Gaia, Portugal. Electronic address:
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Robot-assisted excision of a huge pararectal dermoid cyst via a totally transabdominal route.
Next Document:  Uterine arteriovenous fistula treated with repetitive transcatheter embolization: case report.