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Federación Mexicana de Ginecología y Obstetricia, A.C.

2009, Number 09

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Ginecol Obstet Mex 2009; 77 (09)

Giant Piometra originating high serum levels of CA-125

Ortiz MCM

Language: Spanish
References: 14
Page: 445-448
PDF size: 275.58 Kb.


ABSTRACT

A case report patient with pyometra is infrequent. The aim of this communication is to present rare manifestations of it. A 65-year-old female with an ovarian cyst diagnosis was evaluated. She reported that since two years ago abdominal perimeter increased progressively. Physical exam revealed a 28 cm abdominal tumor. An ultrasound and a CT scan supported clinical diagnosis. Laboratory test results: white cell count 7 100/ mm3, and CA-125: 214 U/mL. With a presumptive ovarian cancer diagnosis an exploratory laparotomy was carried out. Operative findings: a 26 cm uterus with atrophic ovaries. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The histopathology test results revealed a massive coagulated pyometra.
Conclusion: A giant pyometra is an exceptional event, and also it can increase CA-125 serum levels.


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