Pyomyoma: a case report

EDITORIAL COMMENT: We accepted this case for publication because, although rare, it is interesting and has been associated with a high fatality rate unlike pyometra where the pus is usually sterile on culture. One of the reviewers wondered whether it was wise to aspirate such a tumour but since this patient survived treatment uneventfully it may be that the preoperative knowledge of the abscess provided an advantage at least in suggesting the need for antibiotic therapy. The editor has seen a number of cases of submucous fibroids associated with infection, especially when they have prolapsed through the cervix into the vagina, but he has never seen a case of a pyomyoma as described here. N.B.