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Piriformis Pyomyositis With Sciatica: An Unrecognized Complication of “Unsafe” Abortions

Colmegna, Ines MD*; Justiniano, Maria MD*; Espinoza, Luis R. MD*; Gimenez, Carlos R. MD

JCR: Journal of Clinical Rheumatology: April 2007 - Volume 13 - Issue 2 - p 87-88
doi: 10.1097/01.rhu.0000260655.90449.7d
Case Report
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We report the case of a patient who presented with right sciatic pain as a manifestation of piriformis muscle syndrome 1 month after a clandestine- induced abortion. MRI revealed the presence of a piriformis abscess. Staphylococcus aureus was isolated from blood cultures and from the purulent material obtained by CT-guided aspiration. Piriformis pyomyositis should be recognized as a potential complication of “unsafe” abortions that if left untreated could progress to sepsis and death.

This potentially life-threatening pyomyositis developed 1 month after a clandestine abortion.

From the *Section of Rheumatology, Louisiana State University Health Sciences Center (LSUHSC), New Orleans, Louisiana; †Department of Radiology, LSUHSC, New Orleans, Louisiana.

Reprints: Carlos R. Gimenez, MD, Department of Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, LA 70112. E-mail: carlosgimenez@aol.com.

© 2007 Lippincott Williams & Wilkins, Inc.