Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Mar 28, 2023; 15(3): 83-88
Published online Mar 28, 2023. doi: 10.4329/wjr.v15.i3.83
Magnetic resonance imaging findings of spontaneous pyomyoma in a premenopausal woman managed with myomectomy: A case report
David Martínez, Gustavo E Sanchez, Jhonatan Gómez, Luis J Sonda, Luis D Suárez, Carlos S López, Juan J Vega, Daniel A Cepeda
David Martínez, Gustavo E Sanchez, Department of Radiology, Hospital Christus Muguerza, Puebla 72501, Puebla, Mexico
Jhonatan Gómez, Department of Radiology, Hospital Regional Dr. Juan Graham Casasùs, Villahermosa 86126, Tabasco, Mexico
Luis J Sonda, Luis D Suárez, Carlos S López, Juan J Vega, Daniel A Cepeda, Department of Radiology, Hospital de Especialidades 5 de Mayo, Puebla 72550, Puebla, Mexico
Author contributions: Martínez D designed the study and wrote the manuscript; Sánchez GE wrote the manuscript; Gómez J reviewed the manuscript; Sonda LJ wrote the introduction; Suárez LD wrote the manuscript; López CS wrote the discussion; Vega JJ wrote the abstract; Cepeda DA reviewed the manuscript.
Informed consent statement: The patient provided informed written consent about personal and medical data collection prior to study enrollment.
Conflict-of-interest statement: The authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: David Martinez, MD, Doctor, Department of Radiology, Hospital Christus Muguerza, Av. 11 Ote. 1826, Azcarate, 72501 Puebla, Puebla, Mexico. www_david_@msn.com
Received: September 1, 2022
Peer-review started: September 1, 2022
First decision: November 25, 2022
Revised: January 24, 2023
Accepted: March 9, 2023
Article in press: March 9, 2023
Published online: March 28, 2023
Core Tip

Core Tip: Pyomyoma is a rare but potentially fatal condition resulting from infarction and infection of a fibroid through bacterial seeding and direct, hematogenous, or lymphatic dissemination. Diffusion-weighted images, apparent diffusion coefficient quantification and the addition of T1- and T2-weighted sequences with fat suppression can improve the characterization of the components of a myoma during degeneration.