UTERINE PYOMYOMA AS A COMPLICATION OF PREGNANCY IN AN INTRAVENOUS-DRUG-USER

Pyomyoma (suppurative leiomyoma) is a rare entity characterized by inf arction and infection of a uterine leiomyoma, Pyomyomas may pose both diagnostic and therapeutic difficulties, leading to potential complica tions such as bacteremia, uterine rupture, and even death, In the-case we describe, uterine pyomyoma occurred as a complication of pregnancy in a 31-year-old woman with a history of intravenous drug abuse, We p ostulate that the patient's illicit drug use caused transient bacterem ia resulting in bacterial seeding of a uterine leiomyoma that had infa rcted due to pregnancy. Therapy consisted of total abdominal hysterect omy and intravenous antibiotic administration. We believe this is the first reported case of a pyomyoma developing in association with intra venous drug abuse.