Case ReportPiriformis Pyomyositis With Sciatica An Unrecognized Complication of “Unsafe” AbortionsColmegna, Ines MD*; Justiniano, Maria MD*; Espinoza, Luis R. MD*; Gimenez, Carlos R. MD†Author Information 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: [email protected]. JCR: Journal of Clinical Rheumatology: April 2007 - Volume 13 - Issue 2 - p 87-88 doi: 10.1097/01.rhu.0000260655.90449.7d Buy Metrics AbstractIn Brief 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. © 2007 Lippincott Williams & Wilkins, Inc.