The dual danger of pyometra and endometrial carcinoma: a case report

Dayang Corieza Febriany and Mohamed Arif Hameed Sultan and Zubair Ahmad Sharifuddin and Anand Raj Thangavelu and Cindy Chin (2024) The dual danger of pyometra and endometrial carcinoma: a case report. Italian Journal of Gynæcology & Obstetrics, 36 (2). pp. 1-5. ISSN 2385 – 0868

	Text ABSTRACT.pdf Download (40kB)
	Text FULL TEXT.pdf Restricted to Registered users only Download (554kB) \| Request a copy

URL: http://www.gynaecology-obstetrics-journal.com/the-...

Abstract

Background. Pyometra, a collection of purulent material within the endometrial cavity, is a relatively uncommon gynaecological condition. Spontaneous perforation of the uterus is an infrequent complication of pyometra, most often the result of malignant conditions in the uterus. Case presentation. We report the case of an elderly woman who had acute abdominal pain due to a ruptured uterus secondary to pyometra resulting from an infected endometrial mass diagnosed on computed tomography. She underwent an urgent exploratory laparotomy, and a total hysterectomy and bilateral salpingo-oophorectomy were performed. Her CA-125 level was raised (102.3 U/ml) and the histopathological examination (HPE) of the endometrial mass confirmed an endometrial carcinoma. The rest of the HPE shows necrotic and inflamed perforated uterus and pyometra. No organism growth was detected in both endometrial or peritoneal pus cultures. Postoperatively, she received intravenous antibiotics and gradually recovered and discharge well. Conclusions. When an elderly post-menopausal patient presented with an acute abdomen, the possibility of a ruptured uterine perforation secondary to pyometra needs to be considered and the cause of this condition needs to be further investigated.

Item Type:	Article
Keyword:	Pyometra; uterine perforation; endometrial carcinoma; acute abdomen; hysterectomy
Subjects:	R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics > RG211-483 Abnormalities and diseases of the female genital organs
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	ABDULLAH BIN SABUDIN -
Date Deposited:	05 Aug 2024 11:22
Last Modified:	05 Aug 2024 11:22
URI:	https://eprints.ums.edu.my/id/eprint/39482

Actions (login required)

View Item