Pyomyoma after uterine artery embolization: laparotomy avoided by in-bag morcellation.

We report a case of a pyomyoma where in-bag morcellation allowed for a total laparoscopic hysterectomy instead of laparotomy which has been recognized as the standard of care to avoid infection spreading by morcellation. A 45-year-old multiparous woman presented with sepsis, pelvic pain, and leukocytosis one month after uterine artery embolization for symptomatic uterine leiomyoma. The diagnostic of a 9-cm pyomyoma was suspected at pelvic computed tomography scan. A total hysterectomy was performed using a laparoscopic approach with in-bag morcellation. The intervention was successful and the post-operative course was uneventful. The patient was discharged on post-operative day one and was well two months after surgery.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research