Ascending infection causing pyomyoma in a young woman

Pyomyoma is a very rare complication of uterine fibroid, but is associated with high morbidity and mortality. We report a case of pyomyoma in a young lady caused by an ascending infection. She presented with chronic fever. CT scan showed the presence of gas inside the pyomyoma. An exploratory laparotomy was performed followed by drainage of pus. She responded well to the treatment. Although rare, pyomyoma should be suspected in patients with leiomyoma, unexplained fever, abdominal pain and no other apparent source of infection.