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J Minim Invasive Gynecol. 2019 Jan;26(1):175-177. doi: 10.1016/j.jmig.2018.07.022. Epub 2018 Aug 9.

Pyomyoma After Uterine Artery Embolization: Laparotomy Avoided by In-Bag Morcellation.

Author information

1
Department of Gynecology, Centre Hospitalier Universitaire Laval, Québec, Canada.
2
Department of Gynecology, Centre Hospitalier Universitaire Laval, Québec, Canada. Electronic address: philippe.laberge@fmed.ulaval.ca.

Abstract

We report a case of a pyomyoma in which in-bag morcellation allowed for a total laparoscopic hysterectomy instead of laparotomy, which has been recognized as the standard of care to avoid the spread of infection from morcellation. A 45-year-old multiparous woman presented with sepsis, pelvic pain, and leukocytosis at 1 month after undergoing uterine artery embolization for symptomatic uterine leiomyoma. Pelvic computed tomography scan revealed a 9-cm suspected pyomyoma. A total hysterectomy was performed using a laparoscopic approach with in-bag morcellation. The intervention was successful, and the postoperative course was uneventful. The patient was discharged on postoperative day 1 and was well at 2 months after surgery.

KEYWORDS:

In-bag morcellation; Laparoscopy; Pyomyoma; Uterine artery embolization

PMID:
30098413
DOI:
10.1016/j.jmig.2018.07.022

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