A rare case of Pyomyoma with spontaneous rupture in a nulliparous woman

Abstract

Pyomyoma is a very rare complication of fibroids. Rupture of Pyomyoma is much rarer condition with very few reported cases till date. Most reported cases are in multiparous women. Diagnosis is quite difficult due to non specific presentation with sometimes features mimicking malignancy. In this report we present a nulliparous woman who presented with fever, pain abdomen, lump abdomen, anemia and weight loss. CE-CT abdomen showed a Pyomyoma with uterine rupture and retroperitoneal fistula. Hysterectomy was done with coverage of broad spectrum antibiotics. Confirmation of diagnosis was done by histopathology.