2013, Number 07
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Ginecol Obstet Mex 2013; 81 (07)
Uterine spontaneous secondary perforation to piometra in a patient with cancer cervicouterino: report of a case
González-Medrano MG, Uribe-Koch LM, Estrada-Hernández MR, Ojendiz-Nava RC, Pérez-Morales A
Language: Spanish
References: 9
Page: 425-429
PDF size: 648.93 Kb.
ABSTRACT
The pyometra is a rare condition, with an incidence of less
than 1%. In patients with cervical cancer, spontaneous rupture
of pyometra manifests as a generalized peritonitis, which is
extremely rare, in the literature only seven cases are described.
This paper reports the case of a patient with a history
of postmenopausal vaginal bleeding one month before her
admission to the hospital; she attended because of acute
abdomen. The CT scan reported air in the abdominal cavity
and the uterus with air at the periphery, so she underwent an
exploratory laparotomy in which purulent material was found
with two perforations in the uterine fundus. She underwent
total abdominal extrafacial hysterectomy with histopathological
diagnosis of keratinizing squamous cell carcinoma,
moderately differentiated.
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