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Pyomyoma as a Rare Source of Postpartum Sepsis

机译:脓毒症是产后败血症的稀有来源

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Pyomyoma, also known as suppurative leiomyoma, is a rare clinical complication that occurs when a leiomyoma undergoes infarction and subsequent infection. A high index of suspicion is required to make the diagnosis and can be guided by a classic triad of symptoms that includes abdominal pain, sepsis without an obvious source, and a history of leiomyoma. In the vast majority of these cases, total abdominal hysterectomy is required to avoid severe morbidity and potential mortality. We present an unusual case of a postpartum pyomyoma that was successfully treated without the need for hysterectomy. With strong clinical suspicion, early diagnosis, and appropriate management, some affected patients may preserve fertility.
机译:平滑肌瘤,也称为化脓性平滑肌瘤,是一种罕见的临床并发症,发生于平滑肌瘤梗塞并随后感染时。诊断时需要高度怀疑,可以通过经典的三联征进行指导,包括腹痛,无明显来源的败血症和平滑肌瘤病史。在绝大多数情况下,需要进行全腹子宫切除术以避免严重的发病率和潜在的死亡率。我们介绍了一种不寻常的产后脓肿,无需子宫切除即可成功治疗的病例。由于临床上的高度怀疑,早期诊断和适当的管理,一些受影响的患者可以保留生育能力。

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