Sepsis in Second Trimester of Pregnancy due to an Infected Myoma

Considering the high incidence of uterine myomata in women in reproductive age, myomata are only found in 2% of all pregnancies. Although they frequently lead to complications in pregnancy, cases of pyomyomata during pregnancy are rarely reported. A 44-year-old gravida 1 in her 26th week of gestatio...

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Published inFetal diagnosis and therapy Vol. 16; no. 4; pp. 245 - 247
Main Authors Grüne, Barbara, Zikulnig, Elisa, Gembruch, Ulrich
Format Journal Article
LanguageEnglish
Published Basel, Switzerland 01.07.2001
Subjects
Klebsiella pneumoniae
Pregnancy
Klebsiella
Sepsis
Myoma
Pyomyoma
Ultrasound
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Summary:Considering the high incidence of uterine myomata in women in reproductive age, myomata are only found in 2% of all pregnancies. Although they frequently lead to complications in pregnancy, cases of pyomyomata during pregnancy are rarely reported. A 44-year-old gravida 1 in her 26th week of gestation was admitted to the hospital for septic temperatures of unknown cause. A 12-cm leiomyoma with solid structures of heterogenic sonographic pattern and cystic spaces had been documented on a prior first trimester sonogram. The myoma now appeared with the same size but an increased echogenicity of the liquid parts. Ultrasound guided aspiration of the fluid within the myoma showed an infection with Klebsiella pneumoniae. A cesarian section with myo- mectomy confirmed the diagnosis of a pyomyoma.
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ISSN:1015-3837
1421-9964
DOI:10.1159/000053920