Spontaneous perforation of pyometra in a cervical cancer patient: a case report and literature review

Sameer Vyas
In: Cancer Imaging · 2009 · vol. 9(1) , pp. 12–14 · doi:10.1102/1470-7330.2009.0002 · PMID:19419914 · W2070961470
article OA: bronze CC0 ⤵ 7 in-corpus citations
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This case report describes an elderly postmenopausal woman with cervical cancer who presented with generalized peritonitis due to spontaneous uterine perforation from pyometra.

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Abstract

Pyometra is an uncommon condition with an incidence of less than 1% in gynaecologic patients. Spontaneous rupture of pyometra in cervical cancer presenting as generalized peritonitis is very rare. Only four cases have been described in the English literature to the best of our knowledge and from a PubMed search. The index case is an elderly postmenopausal female who was diagnosed with cervical cancer, started on radiotherapy and presented with features of generalized peritonitis. Contrast-enhanced CT revealed uterine perforation at the fundus with multiple abdominal and pelvic collections. A brief review of all the cases of ruptured pyometra in cervical cancer in the literature and a discussion of the role of imaging is presented.

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