A 57-year-old, single
Thai woman presented with a sudden onset of severe
pain in the right lower quadrant of the
abdomen. The
patient had intermittent
abdominal pain for five months. Previous
pelvic examination and
ultrasonography demonstrated a right adnexal mass compatible with right ovarian
tumor or subserous
myoma. An exploratory
laparotomy revealed a ruptured infected
leiomyoma. Total abdominal
hysterectomy and bilateral salpingo-ophorectomy were performed.
Antibiotics therapy was continued post-operatively until clinical improved. Although the infected
leiomyoma is uncommon, the
diagnosis should be considered in septic
patients with
history of
leiomyoma, especially in those
who had the
risk of uterine
infection.