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2018, Number 270

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16 de abril 2018; 57 (270)

Pyometra as a cause of spontaneous uterine perforation in a patient with cervical cancer. A case report

Delgado SFM, Abreu PL, García BR
Full text How to cite this article

Language: Spanish
References: 6
Page: 280-283
PDF size: 0. Kb.


Key words:

uterine perforation, peritonitis, pyometra.

ABSTRACT

Pyometra is a rare condition, with an incidence of less than 1 %. In the literature reviewed, only 8 cases of spontaneous uterine rupture due to pyometra were found in patients with cervical cancer. This entity manifests as generalized peritonitis, which can cause the death of the patient if it is not taken into account at the time of diagnosis. It is a 73-year-old patient with no history of disease who presented with acute abdominal pain, fever of two days evolution, abdominal distension and unambiguous signs of acute peritonitis. When ultrasonography was not available, an abdominal puncture was made, extracting abundant pus, so it was decided to perform an exploratory laparotomy, detecting generalized acute peritonitis with abundant pus in the cavity. A spontaneous uterine perforation was found.


REFERENCES

  1. Toquero M, Bañuelos FJ. Peritonitis secundaria a piometra perforado en cáncer de cuello uterino. Ginecol Obstet Mex. 2005;73(11): 618-21. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2005/gom0511h.pdf

  2. Togo JM, Ayala MM, López R. Piometra senil benigno: comunicación de un caso. Ginecol Obstet Mex. 2008;76(4). Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2008/gom084g.pdf

  3. González-Medrano MG, Uribe-Koch LM, Estrada-Hernández, MR, Ojendiz-Nava RC, Pérez-Morales A. Perforación uterina espontánea secundaria a piometra en una paciente con cáncer cervicouterino: reporte de un caso. Ginecol Obstet Mex. 2013;81(7):425-429. Disponible en: http://www.medigraphic.com/cgi bin/new/resumen.cgi?IDARTICULO=43330

  4. Ortiz CM, Acosta NA, Catarino A. (2006). Piometra como complicación del cáncer cervicouterino invasor endocervical. Ginecol Obstet Mex. 2006;74(2):121-24. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2006/gom062h.pdf

  5. Ortiz-Mendoza CM. Abdomen agudo debido a perforación uterina espontánea asociada a piometra. Cir Cir. 2006;74(2):133-35. Disponible en: http://www.medigraphic.com/pdfs/circir/cc-2006/cc062l.pdf

  6. Lobato J, San Roman M, López M. Piometra senil benigno gigante en útero bicorne. MediSur. 2014;12(2):426-30. Disponible en: http://scielo.sld.cu/pdf/ms/v12n2/ms10212.pdf




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C?MO CITAR (Vancouver)

16 de abril. 2018;57